Management of Dural Venous Sinus Thrombosis in Pregnancy

Shah, Monali; Agarwal, Nitin; Gala, Nihar B.; Prestigiacomo, Charles J.; Gandhi, Chirag D.

doi:10.1016/j.ejvsextra.2014.05.004

Cited by 8 publications

(15 citation statements)

References 7 publications

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“…En effet, dans plus de la moitié des cas, ces TPC surviennent dans la première semaine des suites de couche [2]. Ce risque augmente également avec l’âge maternel, l’accouchement par césarienne ainsi que la présence d’une HTA, d’infection et de vomissements gravidiques [2, 3]. La symptomatologie clinique de ces TPC est très polymorphe.…”

Section: Discussionunclassified

“…Leur installation peut être précoce (moins de 48h de l’accouchement) dans 28% des cas, sub aigu (entre 48h et 30 jours) dans 47% des cas ou tardive (plus de 30 jours) dans 25% des cas [2, 4]. Une TPC doit être suspectée lorsque la parturiente développe des symptômes associant à des degrés divers une hypertension intra crânienne (céphalées, vomissements, œdème papillaire, troubles de la conscience) et/ou un déficit neurologique focal et/ou des crises convulsives [3]. Les céphalées constituent le symptôme le plus fréquent, retrouvées dans 75% des cas, elles n’ont pas de caractéristiques ou de profil évolutif spécifique.…”

Section: Discussionunclassified

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Les aspects cliniques et thérapeutiques des thrombophlébites cérébrales du post-partum

Hafed¹,

Ragmoun²,

Wassim³

et al. 2016

Pan Afr Med J

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Les thrombophlébites cérébrales sont des pathologies rares (1/5000 naissances) mais redoutables. La grossesse et le post-partum en sont des circonstances favorisantes: leur symptomatologie clinique est divertie et variée dominée par les céphalées, les convulsions et les déficits neurologiques mais aucun signes n’est spécifique. L’examen physique est souvent pauvre et prêt à confusion avec de nombreuses autres affections. Le diagnostic de certitude ne peut être que neuroradiologique. L’IRM cérébrale est actuellement la méthode de référence, elle permet la visualisation du thrombus veineux et le suivie de son évolution. Le traitement de ces TPC est essentiellement médical basé sur les anticoagulants. A l’occasion de quatre observations de TPC, du post-partum et d’une revue de la littérature, nous allons mettre le point sur l’importance d’un diagnostic précoce et d’une prise en charge thérapeutique adéquate.

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Section: Discussionunclassified

Les aspects cliniques et thérapeutiques des thrombophlébites cérébrales du post-partum

Hafed¹,

Ragmoun²,

Wassim³

et al. 2016

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…2,[4][5][6] However, despite of extensive investigations, the cause may be elusive in up to 20-25% of patients. 6 Currently, infective causes account for less than 10% of patients, while inherited pro-thrombotic tendencies account for 10-15% of cases.…”

Section: Etiologymentioning

confidence: 99%

“…6 Currently, infective causes account for less than 10% of patients, while inherited pro-thrombotic tendencies account for 10-15% of cases. 2,7 Pregnancy and puerperium have long been recognized as periods of increased susceptibility. [7][8][9][10][11] Significantly increased risk has been associated with caesarean delivery, increased maternal age, hyperemesis, inter-current infection and maternal hypertension.…”

Section: Etiologymentioning

confidence: 99%

“…2,3 Pregnancy and puerperium account for 20% of CVT cases in Indian population accounting for 4.5/1000 obstetric admissions and 1/250 deliveries. 2,4 In the pre-antibiotic era post-infective CVT was more prevalent, whereas nowadays aseptic CVT is more frequent. 5 The precise incidence of this ailment is not known because of dearth of available scientifically intended epidemiological studies in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and management of obstetric cerebral venous thrombosis: a stringent challenge

Marwah

Mohindra

2016

Int J Reprod Contracept Obstet Gynecol

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Acute Onset Neurological Disorders during Pregnancy: A Literature Review

Ferraz

Parra

Areia

et al. 2017

Rev Bras Ginecol Obstet

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To characterize the most common peripheral and central neurological disorders during pregnancy. Original research and review of the literature on neurological complications during pregnancy. We searched for keywords related to the topic on different databases. Pregnancy involves physiological changes that can trigger peripheral neurological and/or central nervous system pathologies, which can sometimes be associated with hypertensive disorders. A definitive diagnosis of neurological disorders can be made according to the trimester of pregnancy and the clinical findings. Carpal tunnel syndrome and peripheral facial palsy are common peripheral neurological disorders, more frequent in the second half of pregnancy. Central nervous disorders are more complex and a precise diagnosis must be made in order to improve perinatal outcomes, provide correct management and treatment and to prevent acute and long-term complications. It is possible to achieve a precise diagnosis, management and treatment of neurological disorders during pregnancy, but these require a multidisciplinary approach, crucial to improve perinatal outcomes.

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Management of Dural Venous Sinus Thrombosis in Pregnancy

Cited by 8 publications

References 7 publications

Les aspects cliniques et thérapeutiques des thrombophlébites cérébrales du post-partum

Les aspects cliniques et thérapeutiques des thrombophlébites cérébrales du post-partum

Diagnosis and management of obstetric cerebral venous thrombosis: a stringent challenge

Acute Onset Neurological Disorders during Pregnancy: A Literature Review

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