TY - JOUR T1 - Cerebral venous sinus thrombosis presenting in the puerperium JF - Emergency Medicine Journal JO - Emerg Med J SP - e44 LP - e44 DO - 10.1136/emj.2006.035550 VL - 23 IS - 7 AU - J Acheson AU - A Malik Y1 - 2006/07/01 UR - http://emj.bmj.com/content/23/7/e44.abstract N2 - 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 … ER -