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Post-partum Eclampsia Complicated by Cerebral Venous Thrombosis: Case Report
Jacquelyn Combs1, Teja Narra1, Conway Ou1, Deyna Monta Velaz2, Justin Chatten-Brown3, Leonard Ranasinghe4*
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
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.