Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 3  |  Page : 1054--1057

An audit of cerebral venous thrombosis associated with pregnancy and puerperium in teaching hospital in North Eastern India


Nalini Sharma1, Shri Ram Sharma2, Masaraf Hussain2 
1 Department of Gynecology & Obstetric, NEIGRIHMS, Shillong, Meghalaya, India
2 Department of Neurology, NEIGRIHMS, Shillong, Meghalaya, India

Correspondence Address:
Dr. Shri Ram Sharma
Department of Neurology, NEIGRIHMS, North Eastern Indira Gandhi Regional Institute of Medical Sciences, Shillong, Meghalaya
India

Background and Purpose: Cerebral venous thrombosis (CVT) is characterized by its clinical pleomorphism and pathogenetic variability. We studied 87 patients with CVT associated with pregnancy, and puerperium to find clinical profile, neuroradiological presentation and prognosis. Methods: A retrospective analysis was conducted based on clinical records at our institute between June 2008 and June 2018 without any personally identifying information. The diagnosis of CVT was confirmed by magnetic resonance imaging, angiography, or neuropathological study. Results: Among 87 patients, there were 82 of CVT associated with puerperium and 5 during pregnancy. Fifty-five women were multiparous. Cesarean delivery, hypertension, and anemia were strongly and significantly associated with CVT. Final outcome was considered good with anticoagulation; mortality rate was 10.34%. Conclusion: CVT associated with pregnancy, and puerperium is not an uncommon entity and has acute onset and a better prognosis. Pregnancy-related hypertension and Cesarean delivery and anemia are important risk factors for CVT. Further studies are needed to evaluate the need for therapeutic strategies for patients with CVT during pregnancy and puerperium.


How to cite this article:
Sharma N, Sharma SR, Hussain M. An audit of cerebral venous thrombosis associated with pregnancy and puerperium in teaching hospital in North Eastern India.J Family Med Prim Care 2019;8:1054-1057


How to cite this URL:
Sharma N, Sharma SR, Hussain M. An audit of cerebral venous thrombosis associated with pregnancy and puerperium in teaching hospital in North Eastern India. J Family Med Prim Care [serial online] 2019 [cited 2019 Jul 20 ];8:1054-1057
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=3;spage=1054;epage=1057;aulast=Sharma;type=0