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Dural venous sinus thrombosis — ABEM Board MCQ

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HardNeurological emergenciesDural venous sinus thrombosisABEM Board

A 30-year-old postpartum woman arrives with headache and a focal seizure. Triage acuity is ESI 2; BP 128/78 mm Hg, HR 96/min. Noncontrast CT head is nondiagnostic. She has papilledema and mild right arm weakness. No fever is present. Which of the following is the most appropriate imaging study?

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Correct answer: B — CT venography or MR venography of the head

Postpartum headache with seizure, papilledema, and focal deficit suggests cerebral venous thrombosis; venous imaging is required.

Reference: AHA/ASA cerebral venous thrombosis guidance