A rare case of post-partum cerebral venous sinus thrombosis

Pregnancy is a thrombogenic state that puts a pregnant mother at risk of pulmonary thromboembolism (PTE), deep venous thrombosis (DVT) and stroke during antenatal period and more commonly during puerperium. Cerebral venous sinus thrombosis (CVT) is one such known but rare neurologic complication as a result of this during pregnancy. The patient presents with severe headache, neurological deficits and seizures. Superior and lateral sinuses are commonly involved. A high index of suspicion is needed to diagnose this so as to treat and prevent life threatening complications. Magnetic Resonance (MR) venography is the gold standard for diagnosis. Prompt treatment of cerebral venous thrombosis during pregnancy with anticoagulants in therapeutic doses leads to reversal of symptoms in most of the cases. Here, we present a rare case of CVT who was initially confused with imminent eclampsia, but was diagnosed in time and thus was successfully managed with a favourable outcome.