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Cerebral venous sinus thrombosis — MCCQE Part 1 MCQ

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HardSeizuresCerebral venous sinus thrombosisMCCQE Part 1

A 28-year-old woman 2 days post-partum has sudden severe headache, right-sided weakness, and seizure. CT: left cortical venous haemorrhagic infarct with delta sign on CT venogram. Most likely diagnosis?

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Correct answer: B — Cerebral venous sinus thrombosis

Postpartum + focal neurological deficits + seizure + haemorrhagic infarct + delta sign = CVST. Prothrombotic state of pregnancy/puerperium. Treatment: anticoagulation even with haemorrhagic infarct. MRV for confirmation.

Reference: Canadian Stroke Best Practices