Avcıoğlu, Sümeyra Nergiz Adnan Menderes Üniversitesi - Kadın Hastalıkları ve Doğum AD, Turkey , Altınkaya, Sündüz Özlem Adnan Menderes Üniversitesi - Kadın Hastalıkları ve Doğum AD, Turkey , Sezer, Selda Demircan Adnan Menderes Üniversitesi - Kadın Hastalıkları ve Doğum AD, Turkey , Küçük, Mert Sıtkı Koçman Üniversitesi - Kadın Hastalıkları ve Doğum AD, Turkey , Yüksel, Hasan Adnan Menderes Üniversitesi - Kadın Hastalıkları ve Doğum AD, Turkey

Cerebral Venous Thrombosis Complicated By Hemorrahic Infarction In Postpartum Period

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Cerebral venous trombosis (CVT) is a rare disease among cerebrovascular diseases.(0.5%) It is seen nearly 5 in one million people. This disease is generally seen in young women. CVT mostly occurs in hormonal fluctation periods like pregnancy, puerperium and oral contraceptive usage. Incidence of thromboembolic disorders related to pregnancy is %0.13. They are most common reasons of maternal mortality and morbidity in developed countries. Initial complaint in CVT is variable. Although some patients are referred with only complaint of mild headache, some of these patients have focal neurologic defisits or are in coma at the beginning. Cerebral venous thrombosis mostly affects superior sagital sinus or lateral sagital sinus and sinuses which drain into deep cortical veins.It may also cause serious neurologic complications. In last 30 years,increase in avalibility and use of cerebral angiography (DCA), computer brain tomography, cranial magnetic rezonans imaging (MRI), magnetic rezonans venography have provided early diagnosis of cerebral sinus venous thrombosis resulting in improvement in prognosis of disease. In this case report, we present a case of cerebral sinus venous thrombosis seen in 30 year old patient, in postpartum period which was supposed to be caused by heterozygotic Factor 5 Leiden mutation and methyl ergonovine use In her coagulation profile, all parameters were normal except for Factor 5 Leiden heterozygotic mutation.This patient was discharged from hospital in postpartum 10th day with prescribing anticoagulation drug threapy.

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Cerebral sinus venous thrombosis , pregnancy , methyl ergonovin , thrombofilia.

Pamukkale Medical Journal

258