A Case Report of Emergency Caesarean Section Due to Cerebral Venous Thrombosis in a 22-year-old Mother With Severe Sreeclampsia

Preeclampsia is a condition of placental pathogenesis, which divided into mild and severe forms, based on the severity of hypertension and proteinuria. Severe type of the disease with HELLP syndrome and neurological symptoms such as seizures play a very important role in maternal complications. Cerebral Venous Thrombosis with incidence of 11.6 per 100,000 deliveries per year,  as a rare cerebrovascular disease, can occur as a result of pregnancy-related changes in coagulation state and vascular endothelial damage and be the cause of the life-threatening risks of the preeclamptic mother.

The patient is a 22-year-old, gravida 1 (33 weeks) woman, with no history of underlying disease, who following the initial seizure and without consciousness, was transferred by the 115th Emergency Department to the triage unit of Valiasr Hospital in Kazerun. Due to repeated recurrent seizures during the 20-minute transmission and the results of test based on HELLP Syndrome, she immediately undergoing a cesarean section.  Subsequently, the results of the CAT-SCAN request confirmed the occurrence of cerebral venous thrombosis in the mother. The infant was discharged because of the absence of respiratory disorder and regularity of heart rate. Six-week postpartum follow-up showed maternal recovery.