Muhammad Zafar Rafique, Vaqar Bari, Kashif Ashraf, Muhammad Nadeem Ahmad.
Cerebral deep venous thrombosis: Case report and literature review.
J Pak Med Assoc Jan ;55(9):399-400.

A 28 years old female presented with complaints of headache for two days and drowsiness and vomiting for one day. Patient delivered a baby two weeks ago and had post partum hemorrhage. Significant past history was hypertension for seven years. Neurological examination was non focal. EEG showed generalized delta waves suggestive of encephalitis. MRI, including sagittal, axial and coronal T1WI, axial T2WI, coronal FLAIR images was performed. MR[ showed hyperintense signals on T2 weighted images (figure 1) in the thalami bilaterally. Venous infarction was suspected and immediately gadolinium enhanced MR Venography was performed. This showed non visualization of internal cerebral veins, vein of Galen and straight sinus (figure 2). These findings were consistent with deep cerebral venous thrombosis. Patient was treated with heparin and recovered from her symptoms. She was discharged from the hospital after a few days. At the time of discharge she had fully recovered without any neurological deficits.

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