PREGNANCY RELATED CORTICAL VEINS AND SINUS THROMBOSIS

Background The syndrome of intracranial venous and sinus thrombosis termed as cerebral venous thrombosis (CVT) was recognized in early part of the 18 century when Ribes (1825) described it . By imaging it has been shown that the prevalence of CVT is more common than reported previously and carries a less serious prognosis.(Bianchi D et al,1998)1 Objectives The syndrome of intracranial venous and sinus thrombosis termed as cerebral venous thrombosis is more common than reported previously and carries a less serious prognosis. It has been estimated that the prevalence rate in developing countries is approximately ten times more than in developed countries. Material and method The present study is based on our observations in 10 patients of cerebral venous thrombosis over a period of two years. In addition to usual hematological ,biochemical and radiological investigations, contrast enhanced CT(CECT) scans MRI with MRV scanning were done in all patients. Results The clinical profile usually comprised of a young female , who within 6 ? 20 days after delivery presented with symptoms of CVT .Headache was the most frequent and often the earliest symptom and was encountered in 100% of our cases. Superior sagittal sinus was most frequently involved. IV heparin treatment followed by oral anticoagulants for 3 to 6 months results in favorable prognosis