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Cerebral venous sinus thrombosis — RCPSC EM MCQ

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HardNeurological emergenciesCerebral venous sinus thrombosisRCPSC EM

A 29-year-old 10 days postpartum has progressive headache and a focal seizure. CT venogram shows superior sagittal sinus thrombosis with a small haemorrhagic venous infarct. Platelets are normal and there is no neurosurgical contraindication. What is the most appropriate initial management?

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Correct answer: D — Start therapeutic heparin and involve neurology

Start therapeutic heparin and involve neurology is correct: the clues indicate Cerebral venous sinus thrombosis and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian stroke/neurology emergency practice