Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Jacquelyn Combs¹, Teja Narra¹, Conway Ou¹, Deyna Monta Velaz², Justin Chatten-Brown³, Leonard Ranasinghe^4*
1First-year medical student, California Northstate University College of Medicine, USA
²Third-year medical student, California Northstate University College of Medicine, USA
³Emergency physician and the Director of the Emergency Department, Dignity Woodland Memorial Hospital, Woodland, California, USA
⁴Professor of Emergency Medicine and Clerkship Director of Emergency Medicine, California Northstate University College of Medicine, USA

Corresponding Author: Leonard Ranasinghe, MD
Address: Professor of Emergency Medicine and Clerkship Director of Emergency Medicine, California Northstate University College of Medicine, 9700 W. Taron Dr., Elk Grove, California 95757, USA.
Received date: 20 December 2021; Accepted date: 15 January 2022; Published date: 22 January 2022

Citation: Combs J, Narra T, Ou C, Velaz DM, Chatten-Brown J, Ranasinghe L. Post-partum Eclampsia Complicated by Cerebral Venous Thrombosis: Case Report. Asp Biomed Clin Case Rep. 2022 Jan 22;5(1):18-24.

Copyright © 2022 Combs J, Narra T, Ou C, Velaz DM, Chatten-Brown J, Ranasinghe L. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Cerebral Thromboembolism, Preeclampsia, HELLP Syndrome, Case Report

Abbreviations: HELLP: Haemolysis, Elevated Liver Enzymes, Low Platelet Count; CMP: Complete Metabolic Panel; ED: Emergency Department; MRA: Magnetic Resonance Angiogram; MRV: Magnetic Resonance Venography

Abstract

Cerebral Vein Thrombosis associated with preeclampsia is a rare phenomenon that is not fully understood and presents a potentially challenging situation for treatment and future management. This case presents a 25-year old female with a history of gestational diabetes and hypertriglyceridemia presenting three days post-partum for an eclamptic seizure complicated by cerebral vein thrombosis and HELLP syndrome. The patient’s presenting symptoms were alleviated by eclampsia procedure, anti-anxiety medication, and two different types of anticoagulation. Thrombectomy was not indicated, as imaging did not suggest any large vein clotting. Future check-ins, as well as careful considerations in the event of future pregnancies, should be pursued by the physicians. Testing and gaining a better understanding of the pathophysiology behind cerebral vein thrombosis proves to be difficult as the occurrence is rare, but looking to previous literature to further an understanding of eclampsia and how it progresses in the body may help to provide a greater insight into similar cases and the approach that should be used in said cases.