Cerebral vein thrombosis

Question 1

CVT symptoms

Answer 1

• Usually occurs postpartum
• Ass with seizures, vomiting, photophobia, impaired consciousness
• Signs of raised intracranial pressure
• 30-60% patients have focal signs that may be transient, such as hemiparesis
• CVT may cause fever and leukocytosis

Question 2

Investigations for CVT

Answer 2

• CT or MRI
• Venous angiography MRI
• Thrombophilia screen

Question 3

CVT facts

Answer 3

• 3rd trimester to 4/52 PN
• 1:2500 / 1:10 000
• Sagittal sinus or cortical veins