Cerebral Venous Sinus Thrombosis with Cerebral Hemorrhage Presenting with Status Epilepticus in Early Pregnancy.

BACKGROUND: CVST is an important cause of stroke during late pregnancy and in the puerperium, but it is seldom encountered during early pregnancy. We report a case of a 34-year-old woman presenting with convulsive status epilepticus in early pregnancy.

METHODS: In this case, the cranial computed tomography detected hemorrhage. Magnetic resonance imaging revealed a bilateral hypointense signal involving the frontal lobes and a hyperintense lesion on the right temporal lobe on T1-weighted imaging, and a large bilateral hyperintense area involving the frontal lobes on T2-weighted and fluid-attenuated inversion recovery imaging. Magnetic resonance venography showed occlusion of the right transverse sagittal and sigmoid sinus.

RESULTS: The patient received a diagnosis of cerebral venous sinus thrombosis (CVST) with cerebral hemorrhage. The patient was given anticoagulant therapy for one month and made a good recovery.

CONCLUSIONS: This case report should raise awareness of the diagnosis and treatment of CVST with cerebral hemorrhage in early pregnancy.