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01-07-2019 | Cerebral Sinus Venous Thrombosis | Case Report - Neurosurgery and pregnancy

Decompressive craniectomy in cerebral venous sinus thrombosis during pregnancy: a case report

Authors: Ifigeneia Gioti, Konstantinos Faropoulos, Constantinos Picolas, Moses-Akis Lambrou

Published in: Acta Neurochirurgica | Issue 7/2019

Abstract

Pregnancy and puerperium are risk factors for cerebral venous sinus thrombosis (CVST), a condition which nowadays is treated non-operatively. Decompressive craniectomy is reserved only for emergency settings. We present a 22-year-old pregnant lady, who was transferred at the emergency department with a reduced level of consciousness, headache, and nuchal rigidity. Her MRI study showed CVST, causing hemorrhagic infarct and midline shift. She underwent decompressive craniectomy with partial removal of the hemorrhagic parenchyma. Remarkably, she recovered without any neurological deficits regardless of the substantial temporal lobe damage, while the thrombus nearly resolved using anticoagulation. Decompressive craniectomy can be life-saving in selected CVST patients, followed by anticoagulantion to augment the recanalization process.

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Title: Decompressive craniectomy in cerebral venous sinus thrombosis during pregnancy: a case report
Authors: Ifigeneia Gioti
Konstantinos Faropoulos
Constantinos Picolas
Moses-Akis Lambrou
Publication date: 01-07-2019
Publisher: Springer Vienna
Keywords: Cerebral Sinus Venous Thrombosis
Puerperium
Low Molecular Weight Heparin
Published in: Acta Neurochirurgica / Issue 7/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-03921-5

2024 ASCO Annual Meeting

Springer Medicine

Decompressive craniectomy in cerebral venous sinus thrombosis during pregnancy: a case report

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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