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Case Report



Headaches after a recent pregnancy need an MRI to rule out cerebral thrombosis

Deeba Ali, Laurent Firket, Arnaud Detroz, Yilmaz Gorur, Lionel Bosquee, Benoit Cardos.




Abstract
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Cerebral venous thrombosis (CVT) is a rare but serious complication of pregnancy and postpartum. It is characterized by a misleading symptomatology and the diagnosis must be evoked in the presence of persistent headache after delivery. MRI is the gold standard imaging exam for the diagnosis. Treatment is based on anticoagulation therapy. Functional prognosis is improved if diagnosis is promptly made and treatment started.
We report the case of a 25-year-old woman with a delay diagnosis of postpartum cerebral venous thrombosis. The evolution was marked by severe neurological sequelae. We emphasize the interest of imaging in the early diagnosis of this pathology.

Key words: post-partum cerebral venous thrombosis, magnetic resonance imaging






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