CEREBRAL VENOUS THROMBOSIS -A CASE SERIES OF ATYPICAL PRESENTATION

Abstract

Cerebral Venous Sinus Thrombosis is blood clot in draining veins and venous sinuses of brain, causing hindrance in the blood drainage system in brain, disturbing the internal homeostasis of brain, resulting in local oedema, ischemia, venous haemorrhage, damage to brain parenchyma and blood brain barrier. In our case series we discussed 3 cases i.e 37yr/female came with complaints of headache, vomiting and gtcs, NCCT brain was suggestive of SAH without parenchymal involvement, which is a rare nding. Another case 45 year old female presented with complaints of headache and weakness of left upper and lower limb & gtcs, she is a known case of nephrotic syndrome, which is a risk factor for thrombosis. The last case was of 32 years old female, primi-gravida with 36 weeks of gestation came with complaints of headache, blurring of vision, 2-3 episodes of vomiting & gtcs, MRI brain was suggestive of CVT and thus CVT should also be considered as one of the diagnosis apart from eclampsia, meningitis & PRES in pregnancy. An early diagnosis can be very fruitful as it might prevent long term disability and reduce mortality signicantly.