Chicken or Egg: Which Came First?

Nayana George, Benjamin Tharian, Sangeetha Tharian, Benny Paul, Valsamma Chacko


Cerebral venous sinus thrombosis (CVST) is quite an unusual diagnosis in pregnancy and puerperium. It can present with a wide range of symptoms and signs, and a high index of suspicion is required to diagnose this disorder. The diagnosis is challenging and could if left undiagnosed, result in life-threatening complications. Yet its management is simple with excellent prognosis, with an early diagnosis and timely intervention. We report a case of CVST in a young pregnant patient who presented with features of raised intracranial tension and loss of consciousness, after several weeks of hyperemesis gravidarum. She was treated with intravenous fluid resuscitation, low molecular weight heparin, steroids, and anti-cerebral edema measures. She subsequently made excellent recovery and is under follow-up.

J Neurol Res. 2014;4(5-6):142-145


Cerebral venous sinus thrombosis; Hyperemesis gravidarum; Magnetic resonance venogram; Pregnancy complications

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