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Acta Neurochirurgica

, Volume 161, Issue 7, pp 1349–1352 | Cite as

Decompressive craniectomy in cerebral venous sinus thrombosis during pregnancy: a case report

  • Ifigeneia Gioti
  • Konstantinos Faropoulos
  • Constantinos Picolas
  • Moses-Akis Lambrou
Case Report - Neurosurgery and pregnancy
Part of the following topical collections:
  1. Neurosurgery and Pregnancy

Abstract

Pregnancy and puerperium are risk factors for cerebral venous sinus thrombosis (CVST), a condition which nowadays is treated non-operatively. Decompressive craniectomy is reserved only for emergency settings. We present a 22-year-old pregnant lady, who was transferred at the emergency department with a reduced level of consciousness, headache, and nuchal rigidity. Her MRI study showed CVST, causing hemorrhagic infarct and midline shift. She underwent decompressive craniectomy with partial removal of the hemorrhagic parenchyma. Remarkably, she recovered without any neurological deficits regardless of the substantial temporal lobe damage, while the thrombus nearly resolved using anticoagulation. Decompressive craniectomy can be life-saving in selected CVST patients, followed by anticoagulantion to augment the recanalization process.

Keywords

Cerebral venous sinus thrombosis Hemorrhagic infarct Pregnancy Decompressive craniectomy 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest. The patient has consented to the submission of the case report for submission to the journal.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Neurosurgery DepartmentNicosia General HospitalNicosiaCyprus

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