We present a 31 years old lady who was 19 days postpartum who was admitted with fits and loss of consciousness. At presentation Glasgow Coma Scale was 8/15. No focal deficit. CT scan brain showed findings suggestive of subarachnoid haemorrhage(SAH) in left sylvian fissure along with few parenchymal haemorrhagic areas in frontal and parietal lobes. MRI brain and MRV confirmed superior sagittal sinus thrombosis, inferior sagittal, straight and right transverse and sigmoid sinus thrombosis. Patient was treated conservatively and was anticoagulated for 6 months and had a complete recovery. Further workup of thrombophilia was negative. Postpartum being the only risk factor for cerebral venous thrombosis (CVT) in her. SAH can be a rare presenting symptom of CVT and should not preclude patients from receiving anticoagulation.
"Cerebral venous thrombosis presenting as subarachnoid haemorrhage,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 13
, Article 2.
Available at: https://ecommons.aku.edu/pjns/vol13/iss2/2