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Cerebral venous sinus thrombosis presenting in the puerperium
  1. J Acheson,
  2. A Malik
  1. Emergency Department, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to:
 Dr J Acheson
 Emergency Department, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK; achesonjonny{at}

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Cerebral venous sinus thrombosis is an uncommon disorder that can present with a wide range of signs and symptoms. We describe a case presenting in the puerperium of a young woman and the investigations undertaken.


A 27 year old woman with a 10 day history of an increasing dull headache presented to the emergency department with three tonic-clonic seizures over a 90 minute period. Each seizure lasted between one and two minutes in duration. She was three weeks post partum following a normal vaginal delivery. The pregnancy was healthy with no complications. There was no history of epilepsy.

On examination her airway was maintained with a nasopharyngeal airway. Air entry was equal bilaterally. Basic observations revealed: heart rate 68 beats/min, blood pressure 108/56 mm Hg, temperature 36.8 °C …

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  • Competing interests: none declared

  • Informed consent was obtained for publication of the person’s details in this report.