Early Anticoagulation Post LSCS in a Symptomatic Cortical Venous Thrombosis with Protein - S Deficiency.

ABSTRACT

Post partum cerebral venous sinus thrombosis (CVT) in a high risk predisposed individual and its management particularly after a major surgical intervention i.e. lower segment caesarean section (LSCS) is debatable. Guidelines are there to treat after 72 hours of major surgical intervention. We report a case of CVT with generalised tonic clonic seizures as a life threatening complication in whom anticoagulation was started at 48 hours post LSCS without any complications of anticoagulation. We recommend early anticoagulation despite major surgical intervention, so as to avoid the impending life threatening complications following cerebral venous thrombosis in predisposed individuals.