ISSN No. 2079-8547 (Recognized by PMDC)
CLINICAL SPECTRUM OF POST PARTUM DURAL SINUS THROMBOSIS AN EXPERIENCE IN TERTIARY CARE HOSPITAL, KHYBER PAKHTUNKHWA
Abstract
ABSTRACT
Introduction: Post partum dural sinus thrombosis (DST) is a life threatening condition and is characterized by a wide
range of nonspecific clinical presentations, course and outcome. The main aim of this study was to determine the
clinical spectra of post partum DST.
Materials and Methods: A total of 35 patients with radiologically confirmed diagnosis of post partum DST admitted in
Medical wards and Obstetrics and Gynecology units of Lady Reading Hospital, Peshawar were included in the study
between June 2016 to Dec 2017. All the relevant information including detail history, clinical examination and laboratory
investigations were recorded in a pre-designed proforma. Data was analyzed by SPSS version 22.
Results: Mean age was 26±2 years. DST was more commonly observed in primi-gravida (37.14%). Headache and fever
being the most common presenting symptoms(71.4% and 62.9% respectively), followed by visual symptoms (45.7%),
focal weakness (28.5%) and seizures (20.0%). Most commonly involved sinuses were transverse sinus (47.2%) and
superior sagittal sinus (28.5%).
Conclusion: Post partum cerebral sinus thrombosis is a serious condition which needs early diagnosis and prompt
initiation of treatment to prevent complications and mortality.
Key words: Dural sinus thrombosis, postpartum,