Cerebral venous thrombosis initially considered as a complication of spinal-epidural anaesthesia

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Karci A., Boyaci F., Yaka E., Cakmur R., Men S., Elar Z.

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, no.6, pp.711-714, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2005
  • Doi Number: 10.1177/147323000503300615
  • Journal Name: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.711-714
  • Keywords: cerebral venous thrombosis, post-dural puncture headache, spinal-epidural anaesthesia, SAGITTAL SINUS THROMBOSIS, POSTDURAL PUNCTURE HEADACHE
  • Dokuz Eylül University Affiliated: Yes

Abstract

Cerebral venous thrombosis is an unusual condition characterized by headache, nausea, vomiting, focal deficits and epileptic seizures. In this case report we describe a patient who presented with headache and focal motor deficits after an uneventful Caesarean section, performed using combined spinal-epidural anaesthesia. Magnetic resonance imaging was performed because of the pronounced neurological symptoms, and a diagnosis of cerebral venous thrombosis was made. The patient was treated with anticoagulant agents and made a complete recovery. This case emphasizes the importance of considering cerebral venous thrombosis in the differential diagnosis of headache in the post-partum period prior to instituting conventional therapy.