CVT in the Peripartum Period: A Diagnostic Dilemma
Women in the peripartum period can develop headache with a variety of etiologies that require a multidisciplinary approach if unresponsive to treatment (Stella et al. 2007). Neuroimaging needs to be undertaken even occasionally in the absence of focal neurologic signs to rule out life-threatening ca...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/7656232 |
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| _version_ | 1850224052829945856 |
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| author | Leah Allbright Francine McLeod Donald Mauney |
| author_facet | Leah Allbright Francine McLeod Donald Mauney |
| author_sort | Leah Allbright |
| collection | DOAJ |
| description | Women in the peripartum period can develop headache with a variety of etiologies that require a multidisciplinary approach if unresponsive to treatment (Stella et al. 2007). Neuroimaging needs to be undertaken even occasionally in the absence of focal neurologic signs to rule out life-threatening causes of headache. We present the case of a 23-year-old woman who presented postpartum with severe frontal headache without other neurologic symptoms. Treatment was initiated for tension type, then subsequently postdural puncture headache (PDPH), and finally preeclampsia. When CT venogram was obtained ten days later, the diagnosis of cerebral venous thrombosis (CVT) was made. She was started on anticoagulation and achieved complete recovery. |
| format | Article |
| id | doaj-art-5498e2cc3f2e40e4a8a8e2d953d86a37 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-5498e2cc3f2e40e4a8a8e2d953d86a372025-08-20T02:05:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/76562327656232CVT in the Peripartum Period: A Diagnostic DilemmaLeah Allbright0Francine McLeod1Donald Mauney2Obstetrics and Gynecology, Inova Fairfax Medical Campus, USAVirginia Commonwealth University School of Medicine, Department of Obstetrics and Gynecology, Inova Fairfax Medical Campus, USAVirginia Commonwealth University School of Medicine, Department of Anesthesiology, Inova Fairfax Medical Campus, USAWomen in the peripartum period can develop headache with a variety of etiologies that require a multidisciplinary approach if unresponsive to treatment (Stella et al. 2007). Neuroimaging needs to be undertaken even occasionally in the absence of focal neurologic signs to rule out life-threatening causes of headache. We present the case of a 23-year-old woman who presented postpartum with severe frontal headache without other neurologic symptoms. Treatment was initiated for tension type, then subsequently postdural puncture headache (PDPH), and finally preeclampsia. When CT venogram was obtained ten days later, the diagnosis of cerebral venous thrombosis (CVT) was made. She was started on anticoagulation and achieved complete recovery.http://dx.doi.org/10.1155/2020/7656232 |
| spellingShingle | Leah Allbright Francine McLeod Donald Mauney CVT in the Peripartum Period: A Diagnostic Dilemma Case Reports in Obstetrics and Gynecology |
| title | CVT in the Peripartum Period: A Diagnostic Dilemma |
| title_full | CVT in the Peripartum Period: A Diagnostic Dilemma |
| title_fullStr | CVT in the Peripartum Period: A Diagnostic Dilemma |
| title_full_unstemmed | CVT in the Peripartum Period: A Diagnostic Dilemma |
| title_short | CVT in the Peripartum Period: A Diagnostic Dilemma |
| title_sort | cvt in the peripartum period a diagnostic dilemma |
| url | http://dx.doi.org/10.1155/2020/7656232 |
| work_keys_str_mv | AT leahallbright cvtintheperipartumperiodadiagnosticdilemma AT francinemcleod cvtintheperipartumperiodadiagnosticdilemma AT donaldmauney cvtintheperipartumperiodadiagnosticdilemma |