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 |