Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc
Journal website http://www.neurores.org

Case Report

Volume 7, Number 4-5, October 2017, pages 89-93

Complete Superior Sagittal Sinus Thrombosis Along With Subarachnoid Hemorrhage During Early Postpartum Period, Presented by Left Hemiparesis: A Rare Case Report

Figures

Figure 1.
Figure 1. (a) Brain CT scan showing evidence of subarachnoid hemorrhage in the frontal cortical sulci. (b) CT of the brain with arrow showing “typical empty delta sign”. (c) CT brain in sagittal plane showing the lack of normal blood flow void outlined by arrows in the superior sagittal sinus.
Figure 2.
Figure 2. (a) T1-weighted MRI with axial plane showing a hyperintense signal from the thrombosed superior sagittal sinus. (b) MRI of the head in the coronal plane displaying a hyperintense signal from the thrombosed superior sagittal sinus. (c) Brain magnetic resonance angiography with venography in the sagittal plane showing interruption in blood flow in the superior sagittal sinus (arrow) caused by thrombus.

Table

Table 1. Laboratory Test Results
 
InvestigationsResults
Complete blood count (CBC)
  Hemoglobin12.5 g/dL
  WBC count6,280/µL
  Platelets306,000/µL
  Hemotocrit40.33%
Coagulation
  Activated partial thromboplastin time (APTT)24 s (24.8 - 37.4 s)
Renal function tests (RFTs)
  Urea4 mmol/L (2.5 - 6.7)
  Creatinine49 µmol/L (45 - 90)
Liver function tests (LFTs)
  Total bilirubin16 µmol/L
  Alanine aminotransferase (ALT)19 U/L (0 - 40)
  Alkaline phosphatase (ALP)112 U/L (40 - 150)
  Albumin29 g/L (35 - 50)
Electrolyte
  Sodium140 mmol/L (137 - 148)
  Potassium4.34 mmol/L (3.5 - 5)
Random blood sugar (RBC)3.97 mmol/L (3 - 7.7)
Anti nuclear antibody (ANA)Non reactive
Erythrocyte sedimentation rate (ESR)45 mm/h
Thyroid function tests (TFTs)
  Thyroxin (T4)15.3 pmol/L (8.4 - 22.6)
  Thyroid-stimulating hormone (TSH)3.76 mIU/L (0.35 - 4.9)
International normalized ratio (INR)1.00
Methicillin-resistant Staphylococcus aureus (MRSA) and acenobacter screeningNegative
Rheumatoid factor (RA factor )Negative < 8 IU/mL (0 - 8)
Lupus anticoagulantNegative for lupus
Anti phospholipid antibody screening
  Anti-cardiolopin IgG8.0 U/mL (20 U/mL)
  B2 glycoprotein 1 IgG6.4 (20 U/mL)