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Re: Venous sinus thrombosis and Pregnancy? From: Robert J. Carpenter, Jr. MD (zygote@icsi.net) Thu Oct 28 22:11:10 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: GYN: Cytotec for hysteroscopy" Previous message: R. Daniel Braun: "Venous sinus thrombosis and Pregnancy?" In reply to: R. Daniel Braun: "Venous sinus thrombosis and Pregnancy?" Dan, the largest serious of saggital vein thrombosis are in the Indian Medical literature. Most are associated with PIH and likely dehydration from labor. I would be most concerning if preeclampsia/PIH were to develop. If there is complete occlusion and there is no impairment of any drainage route then the use of heparin would be appropriate. Has she had an MRA which would be a better method for assessment of vascular integrity and patterns of flow? I've not seen this specific set of facts before. Bob On 28 Oct 2004 at 21:08, R. Daniel Braun wrote: > I have a friend who has a patient that is described below. Any > comments??? > > I have seen a 29 y/o w/f with a history of sagittal sinus thrombosis > (in the head) followed by development ofpseudotumor cerebri. This > occurred in 1996 and then re-occurred in 1997. She had no clotting > abnormality found on visit to hematologist. She has been on coumadin > since 1997. MRI scan of head now shows non functioning sagittal > sinusand all cotrical veins draining to the straight sinus and > internal cerebral vein. She is stable with normal neuro exam. She > wants to get pregnant and the hematologist and OB here feel she could > do this as long as she stays on heparin or Lovenox. > > R. Daniel Braun, MD > > "If everyone likes you, you're doing something wrong." > > Kinky Friedman > > I believe a self-righteous liberal or conservative with a cause is > more dangerous than a Hell's Angel with an attitude. > > Andy Rooney > -- Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600 Next message: Joanne Bulley, MD: "Re: GYN: Cytotec for hysteroscopy" Previous message: R. Daniel Braun: "Venous sinus thrombosis and Pregnancy?" In reply to: R. Daniel Braun: "Venous sinus thrombosis and Pregnancy?"

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