Hulusi KEÇECİ, Yıldız DEĞİRMENCİ, İlknur Suadiye ŞEKER

Cerebral sinus venous thrombosis in puerperium: Review of the literature in the light of two cases

Serebral sinus ven trombozu (SSVT) nöbet, bilinç kaybı, fokal nörolojik defisitler, inme ve intrakraniyal hipertansiyonu içeren farklı semptomlarla sonuçlanan, dural venlerdeki tromboz varlığıdır. Görme kaybı, kraniyal sinir felçleri eşlik etsin veya etmesin, baş ağrısı en sık intrakraniyal hipertansiyon semptomudur. SSVT, cinsiyet hormonları, gebelik ve lohusalık gibi özel predispozan risk faktörleri nedeniyle kadınlarda daha sık görüldüğünden, olgular baş ağrısı şikayeti olan kadınlarda yaşamı tehdit eden bu acil nörolojik tablonun önemini vurgulamak amacıyla sunuldu.

Lohusalıkta serebral sinüs ven trombozu: İki olgu ışığında literatürün gözden geçirilmesi

Cerebral venous sinus thrombosis (CSVT) is the presence of thrombosis in the dural vein, result- ing with a variety of symptoms including seizure, loss of consciousness, focal neurological defi- cits, stroke and intracranial hypertension. Headache is the most common symptom of intracranial hypertension with or without vision loss, cranial nerve palsies. Since CSVT is more common in women regarding to the predisposing risk factors such as sex hormones, pregnancy, puerperium, which are unique to women, we reported these cases in order to emphasize the importance of con- sidering this life-threatening, neurological emergency in women with headache complaint.

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1. Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F. ISCVT Investigators. Prognosis of cerebral vein and dural sinus thrombosis: Results of the interna- tional study on cerebral vein. Stroke 2004; 35: 664-70.
2. Bousser MG, Ferro JM. Cerebral venous thrombosis: An update. Lancet Neurol 2007; 6: 162-70.
3. Stam J. Thrombosis of the cerebral veins and sinuses. N Engl J Med 2005; 352: 1791-8.
4. Bushnell C, Saposnik G. Evalua- tion and management of cerebral venous thrombosis. Continuum 2014; 20: 335-51.
5. Ferro JM, Canhão P. Cerebral ve- nous sinus thrombosis: Update on diagnosis and management. Curr Cardiol Rep 2014; 16: 523.
6. Wasay M, Azeemuddin M. Neu- roimaging of cerebral venous thrombosis. J Neuroimaging 2005; 15: 118-28.
7. Ganeshan D1, Narlawar R, McCann C, Jones HL, CurtisCerebral venous thrombosis-A pic- torial review. Eur J Radiol 2010; 74: 110-6.
8. Girot M, Ferro JM, Canhão P, Stam J, Bousser MG, Barina- garrementeria F, Leys D. Predic- tors of outcome in patients with cerebral venous thrombosis and in- tracerebral hemorrhage. Stroke 2007; 38: 337-42.
9. Coutinho JM, Ferro JM, Canhão P, Barinagarrementeria F, Cantú C, Bousser MG, Stam J. Cerebral ve- nous and sinus thrombosiswomen. Stroke 2009; 40: 2356-61.
10. Leach JL, Fortuna RB, Jones BV, Gaskill-Shipley MF. Imaging of cerebral venous thrombosis: Current techniques, spectrum of find- ings, and diagnostic pitfalls. Radiographics 2006; 26: 19-41.
11. Coutinho JM, Middeldorp S, Stam J. Advances in the treatment of cerebral venous thrombosis. Curr Treat Options Neurol 2014; 16: 299.
12. Al-Hashel JY, John JK, Vembu P. Venous thrombosis of the brain. Retrospective review of 110 pa- tients in Kuwait. Neurosciences (Riyadh) 2014; 19: 111-7.