Post-partum cavernous venous sinus thrombosis (CVST): a case report

Authors

  • Hamida Begum Professor, FOM, Widad University College BIM POINT, Bander Indera Mahkota, Kuantan, Pahang, Malaysia
  • Lutfunnessa Quddus Specialist General Practitioner, Chadstone Road Medical Clinic, Malvern East, Australia
  • Tenku Syed Muhammad Naquib Bin Tenku Senior Lecturer, FOM, Widad University College, Kuantan, Pahang, Malaysia
  • AMM Zahurul Quddus Diploma in Radiation Oncology, Edinburgh University, Scotland
  • Belqees A Allaw Senior Lecturer, FOM, Widad University College, Pahang, Malaysia

DOI:

https://doi.org/10.3329/jbcps.v42i1.70649

Keywords:

Cavernous Venous Sinus Thrombosis (CVST), Magnetic resonance venography (MRV)

Abstract

Cerebral venous sinus thrombosis (CVST) is one of the most serious and fatal disorder of intracranial venous pathways characterized by clot formation in Cerebral venous sinuses. Generally, CVST is a fulminating process with a high rate of mortality (1 in 3 patient) secondary to a spreading bacterial infection specially over head and neck region where coagulase positive Staphylococcus (90%) is mostly responsible. Individuals with  hypercoagulable state i.e., pregnancy or puerperium and malignancy can also suffer from this form of thrombosis. Here we are presenting such a case, who developed CVST on the 5th day of puerperium with features of persistent headache and eye problems. The diagnosis was confirmed with MRI in combination with Magnetic resonance venography (MRV). She responded well to low molecular weight heparin (LMWH) and was discharged on long term oral anticoagulant and regular follow-ups. Her subsequent pregnancy was uneventful without repeat attack of CVST.

J Bangladesh Coll Phys Surg 2024; 42: 82-85

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Published

2024-01-10

How to Cite

Begum, H. ., Quddus, L. ., Naquib Bin Tenku, T. S. M. ., Quddus , A. Z. ., & Allaw, B. A. . . (2024). Post-partum cavernous venous sinus thrombosis (CVST): a case report. Journal of Bangladesh College of Physicians and Surgeons, 42(1), 82–85. https://doi.org/10.3329/jbcps.v42i1.70649

Issue

Vol. 42 No. 1 (2024)

Section

Case Reports

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