skip to main content

Cerebral venous sinus thrombosis — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

HardNeurological emergenciesCerebral venous sinus thrombosisRCPSC EM

CTAS 2: A 32-year-old 2 weeks postpartum has progressive headache and a focal seizure. Vitals are BP 126/78, HR 88. CT head shows a small parasagittal haemorrhagic infarct. Platelets are normal and there is no trauma. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Cerebral venous sinus thrombosis

Postpartum state, headache, seizure and haemorrhagic parasagittal infarct suggest CVST. Diagnosis is by CT or MR venography and treatment is anticoagulation unless contraindicated.

Reference: Canadian Stroke Best Practices; neurovascular emergency guidance