rss
J Neurol Neurosurg Psychiatry 74:814-816 doi:10.1136/jnnp.74.6.814
  • Short report

Risk of recurrence of cerebral venous and sinus thrombosis during subsequent pregnancy and puerperium

Table 1

Risk factors, localisation, and clinical presentation of CVST and course and treatment during subsequent pregnancies

Pat. Risk factor Localisation of CVST Clinical presentation of CVST Pregnancy* Complications during pregnancy Heparin treatment
SSS, superior sagittal sinus; ISS, inferior sagittal sinus; RTS, right transverse sinus; LTS, left transverse sinus; RSS, right sigmoid sinus; LSS, left sigmoid sinus; CV, ascending cortical veins. *Number of pregnancies during the follow up period.
1 puerperium SSS, LTS, LSS headache, vomiting 1 none none
2 puerperium SSS, CV headache, seizures 1 spontaneous abortion (week 16) none
3 oral contraceptives SSS, RS, RTS, CV headache, vomiting, stupor 2 gestosis, section (week 33) none
none low dose heparin from week 16
4 venous malformation SSS, CV headache, hemiparesis, status epilepticus 1 none None
5 oral contraceptives, corticosteroid therapy SSS, RTS, LTS hemiparesis, aphasia 1 spontaneous abortion (week 16) None
6 none SSS, CV headache, focal seizures, hemiparesis 3 none None
none None
none None
7 oral contraceptives LTS, LSS headache, hemiparesis, focal seizures, cerebellar syndrome, somnolence 1 none low dose heparin during pregnancy until 2 months after delivery
8 oral contraceptives LTS, LSS headache, abducens paresis, bilateral optic disc swelling 1 none None
9 oral contraceptives SSS, CV headache, hemiparesis, grand mal seizures, coma 2 2 grand mal seizures (no gestosis) none
none None
10 pregnancy (week 9) SSS, CV headache, optic disc swelling, focal sensory deficits 2 none None
gestosis, section (week 31) None
11 none LTS, LSS, ISS headache, vomiting, somnolence 1 none None
12 pregnancy (week 40) RTS, RSS headache, focal seizures, retinal bleeding 2 none low dose heparin from week 36 until 2 weeks after delivery
none low dose heparin from week 36 until 2 weeks after delivery
13 oral contraceptives SSS, CV headache, tetraparesis, focal seizures 1 induced abortion (week 12) None
14 factor V mutation SSS, RTS, RSS headache, VI and VII cranial nerves palsy 1 none low dose heparin during pregnancy until 6 weeks after delivery

This Article

Latest from Practical Neurology

Latest from Practical Neurology

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of JNNP.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

  • BMJ Careers - Latest Neurology and Neurosurgery jobs

    Latest neurology and neurosurgery jobs