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Issue: Issue 3 (2016) – Supplement 2

Oral Presentation

The unexpected should be expected

Rafael Nascimento, João Miguel Freitas, João Patrício Freitas, and Rafael Freitas
Introduction: The authors present a venous sinus thrombosis that started in a woman 10 days after labour. 
Case Report: A 34-year old woman, who had gone into labour 10 days before her admission, presented to the emergency department with paraesthesia on the right side of the body and dysarthria which started that day. The neurological exam showed predominant right brachial paresis associated with a diminished sensitivity in the right arm and leg. The CT-Scan revealed a venous thrombosis that reached the straight, superior sagittal and transverse sinus, with a greater extension on the right side involving multiple tributary veins. The admission in the cerebral vascular diseases unit was followed by heparin perfusion. Ten days after the onset of the episode the patient was submitted to another CT-Scan that showed resolution of the thrombosis. Goldman campimetry was considered normal. The patient was discharged from the unit and started an etiologic search. The echocardiogram and cervical duplex ultrasound were normal. The blood work showed a positive lupus anticoagulant. Currently, the patient does not show any sequels and maintains anticoagulation. 
Conclusion: The authors highlight the role of the internist in the diagnosis of a rare entity in a woman, 10 days after labour, without any relevant past medical history.

Special Issue on Stroke. From the Porto University Center of Medicine Stroke Update Course, Porto, Portugal. 7–8 June 2016.

International Journal of Clinical Neurosciences and Mental Health 2016; 3(Suppl. 2):O7
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