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Indian Journal of Obstetrics and Gynecology

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Clinical Profile and Prognosis of Cerebral Venous Thrombosis in Pregnancy and Puerperium

Shameema Begum, 2Assistant Professor, Department of Obstetrics & Gynaecology, Madurai Medical College and Govt Rajaji Hospital, Madurai, Tamil Nadu 625020, India. , K.S. Chitra1 , M. Shameema Begum2

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Indian Journal of Obstetrics and Gynecology 6(5):p 474-477, Sep-Oct 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6518.6

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Abstract

Objective: Objective of the study is to anaLyse the prognosis of CVT in pregnancy and puerperium. Methods: It’s a retrospective Case study in which epidemiological, clinical picure, risk factors & prognosis are assessed in 24 patients with CVT admitted in the dept of O & G, Govt. Rajaji Hospital Madurai during the period from June 2016 – March 2017. Results: Diagnosis were reached through by Magnetic Resonance Imaging Of the 24 patients, 2 patients were AN and all the rest were PN. The main risk factors were anaemia & dehydration in pregnancy & puerperium. The veins affected were transverse sinus & superior sagital sinus (SSS) 16 (60.6%)of them had seizures and 4 had (16.6%) neurological deficit and 4 died due  to ICH. Conclusion: Treatment with heparin in the acute phase followed by oral anticoagulants was shown as safe & efficient to prevent worsening of the disease, recurrence and for quick improvement of neurological symptoms of all treated patients. 

Keywords: CVT; Heparin; Puerperium.  

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6518.6

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