Intracranial venous thrombosis in early pregnancy

Stevens, Harold; Ammerman, Harvey H.

doi:10.1016/0002-9378(59)90649-0

Cited by 21 publications

(12 citation statements)

References 15 publications

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“…Cerebellar pseudotumoral infarcts of venous origin are very rare. To the best of our knowledge, only two cases have been reported 11,12 . Although clinical signs of intracranial hypertension were not present in our case, CT scan and MRI clearly showed a mass effect with displacement of the fourth ventricle by the hemorrhagic infarct.…”

Section: Commentscontrasting

confidence: 47%

Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis

et al. 2001

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Because of its large spectrum of clinical manifestations, diagnosis of cerebral venous thrombosis may be very difficult. Since appropriate treatment influences prognosis, early recognition of this condition is extremely important. We report a subarachnoid hemorrhage as a rare initial manifestation of cerebral venous thrombosis. A 58-year-old woman was admitted with severe headache of sudden onset, neck stiffness, dysarthria, and ataxia. Computed tomography scan showed a subarachnoid hemorrhage in the right posterior fossa. Magnetic resonance imaging coupled with magnetic resonance angiography revealed right transverse/sigmoid sinus thrombosis with hemorrhagic infarction of the right cerebellar hemisphere leading to a pseudotumoral appearance and displacing the fourth ventricle. Anticoagulant treatment resulted in rapid clinical recovery and in resolution of the radiological signs of infarction and of the subarachnoid and subdural hemorrhages.

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Section: Commentscontrasting

confidence: 47%

Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis

et al. 2001

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“…Regarding the association between cerebellar infarction and pregnancy, a case of cerebellar infarction associated with venous thrombosis during early gestation was reported. [3]. However, as far as we know, there have been no case reports of cerebellar infarction in women with HELLP syndrome.…”

Section: Resultsmentioning

confidence: 99%

A Case of Postpartum Cerebellar Infarction with Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome

Soh

Yasuhi

Nakayama

et al. 2002

Gynecol Obstet Invest

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Cerebellar infarction has been described rarely during pregnancy, and there has been no case report of cerebellar infarction with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. A 39-year-old Japanese primipara had postpartum HELLP syndrome soon after cesarean section at term. Several hours later, she developed cerebellar infarction which was fatal. HELLP syndrome may have contributed to the development of cerebellar infarction in the case.

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“…The clinical symptoms are typically of acute onset, rapidly evolving to coma and death, 2,9,10 but can be subacute or chronic. [11][12][13][14] Symptoms and signs of elevation of intracranial pressure are common to all patients. Early obstruction of cerebrospinal fluid circulation leading to hydrocephalus is frequent but does not preclude a good prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…Early obstruction of cerebrospinal fluid circulation leading to hydrocephalus is frequent but does not preclude a good prognosis. [11][12][13]15 Vestibular and cerebellar signs are the predominant findings on neurologic examination. On imaging studies, cerebellar infarction can be unilateral or bilateral.…”

Section: Discussionmentioning

confidence: 99%

Venous Infarction of Brainstem and Cerebellum

Krespi

Gurol

Çoban

et al. 2001

Journal of Neuroimaging

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The authors describe 2 cases of posterior fosa venous infarction. A 56-year-old woman with essential thrombocytemia presented with fluctuating complaints of headache, nausea, vomiting, left-sided numbness-weakness, and dizziness and became progressively stuporous. Cranial magnetic resonance imaging (MRI) showed bilateral parasagittal fronto-parietal and left cerebellar contrast-enhancing hemorrhagic lesions. On magnetic resonance venography, the left transverse and sigmoid sinuses were occluded. The second patient, a 39-year-old woman, presented with acute onset of diplopia, numbness of the tongue, vertigo, and right-sided weakness following a gestational age stillbirth. MRI revealed lesions in the right half of midbrain and pons and in the superior part of the right cerebellar hemisphere. Digital subtraction angiography showed right transverse and sigmoid sinus occlusion. The authors suggest that one should investigate the possibility of venous infarction in the presence of posterior fossa lesions that are often hemorrhagic and are not within any arterial territory distribution but respect a known venous drainage pattern. Recognition of the observed clinical and neuroimaging features can lead to earlier diagnosis and, potentially, more effective management.

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Intracranial venous thrombosis in early pregnancy

Cited by 21 publications

References 15 publications

Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis

Subarachnoid Hemorrhage: A Rare Presentation of Cerebral Venous Thrombosis

A Case of Postpartum Cerebellar Infarction with Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP) Syndrome

Venous Infarction of Brainstem and Cerebellum

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