Trombosis venosa cerebral puerperal: presentación de un caso / Puerperal cerebral venous trombosis: a case presentation
Rev. cuba. obstet. ginecol
;
33(1)ene.-abr. 2007. ilus
Article
in Spanish
| LILACS
| ID: lil-489469
RESUMEN
Presentamos el caso de una puérpera de 8 d que presenta cefalea de 4 d de evolución, asociada a cambios posicionales e hipertensión arterial. Es ingresada con diagnóstico presuntivo de trombosis venosa cerebral puerperal vs. hipertensión puerperal complicada y en menos de 12 h de su ingreso desarrolla un estado convulsivo tónico-clónico generalizado, con necesidad de ventilación mecánica y tratamiento anticonvulsivante, el diagnóstico fue sospechado por estudios de tomografía axial computadorizada y confirmada por angiorresonancia. Se inició tratamiento anticoagulante en dosis terapéutica desde el primer estudio imagenològico y egresó sin secuelas neurológicas. Se revisa el tema y se comentan los elementos que nos llevaron al planteamiento clínico de la entidad.
ABSTRACT
The article presented the case of a puerpera who, after 8 days of giving birth, suffered headache for 4 days associated to positional changes and blood hypertension. She was admitted to the hospital with a presumptive diagnosis of puerperal cerebral venous thrombosis vs complicated puerperal hypertension. Within 12 hours of admission, she developed a generalized tonic-clonic convulsive state and needed to be mechanically ventilated and treated with anticonvulsive drugs. CAT studies provided the suspected diagnosis whereas magnetic angioresonance confirmed it. Anti-coagulant treatment at therapeutic dose was provided since the first imaging study. She was discharged from hospital without any neurological sequelae. This topic was reviewed and the elements leading us to the clinical statement of the disease were commented on.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Intracranial Thrombosis
Limits:
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Rev. cuba. obstet. ginecol
Journal subject:
Gynecology
/
Obstetrics
Year:
2007
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Hospital Docente Ginecoobstétrico Eusebio Hernández/CU
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