Cerebral Venous Sinus Thrombosis as a Rare Complication of Hyperemesis Gravidarum: A Case Report

Oadi N. Shrateh^1, , Hashem M. Khdour¹, Duha Y. Jawaada², Haneen Owienah³, Thaer Sweileh³, Samer Barahmeh⁴ and Ahmad Al-Sarahneh²

¹Faculty of Medicine, Al-Quds University, Jerusalem, Palestine

²Department of Obstetrics and Gynecology, AL-Makassed Charitable Society Hospital, East Jerusalem, Palestine

³Radiology Department, Al-Istishari Arab Hospital, Ramallah, West Bank, Palestine

⁴Department of Obstetrics and Gynecology, Al-Istishari Arab Hospital, Ramallah, Palestine

Cite this paper:
Oadi N. Shrateh, Hashem M. Khdour, Duha Y. Jawaada, Haneen Owienah, Thaer Sweileh, Samer Barahmeh and Ahmad Al-Sarahneh. Cerebral Venous Sinus Thrombosis as a Rare Complication of Hyperemesis Gravidarum: A Case Report. American Journal of Medical Case Reports. 2022; 10(9):230-234. doi: 10.12691/ajmcr-10-9-5

Abstract

Objective: Cerebral venous sinus thrombosis (CVST) is an uncommon but serious sequalae of severe hyperemesis gravidarum. Pregnancy and puerperium are important risk factors for CVST. Here, we report a case of CVST induced by hyperemesis gravidarum. Case report: A 25-year-old Palestinian woman, gravida 3, para 2 in the first trimester of her pregnancy. The patient was first diagnosed with severe hyperemesis gravidarum due to recurrent episodes of nausea and vomiting. As the condition advanced, the patient had headache and generalized weakness for a one-week duration. Neuroimaging revealed extensive thrombosis in the cerebral sinuses; thereby CVST was diagnosed. The patient was treated with anticoagulant and had a complete recovery. Conclusion: Although rare, it is important to include cerebral venous sinus thrombosis (CVST) in the differential diagnosis of any brain syndrome during all trimesters of pregnancy and puerperium. In this case study, we affirm the significance of suspecting CVST in pregnant women complaining of any neurological syndrome, especially in the setting of severe hyperemesis gravidarum.

Keywords:
cerebral venous sins thrombosis severe hyperemesis gravidarum pregnancy puerperium neuroimaging anticoagulation

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