Información del artículo
Resumen
La tromboflebitis cerebral es una complicación poco frecuente de la gestación y del puerperio. Aportamos el caso de una paciente de 22 años que ha presentado una tromboflebitis cerebral del posparto secundaria a un déficit adquirido en antitrombina III. La sintomatología clínica de las tromboflebitis cerebrales es a veces engañosa. La angiografía y la resonancia magnética permiten realizar un diagnóstico rápido y acertado. El tratamiento está basado en la heparinoterapia a dosis anticoagulantes. Este tratamiento deberá adaptarse en caso de déficit en factores de la coagulación que deben ser investigados ante todo accidente tromboembólico de localización inhabitual.
Summary
Cerebral thrombophlebitis is a rare complication of pregnancy and post-partum. We report the case of a 22 year old woman presenting with a post-partum cerebral thrombophlebitis, secondary to an acquired deficiency of antithrombin III. The clinical symptoms of cerebral thrombophlebitis can be misleading. Angiography and magnetic resonance imaging can make the diagnosis. Treatment is based on anticoagulating heparin therapy. This treatment must be adapted in the case of coagulation deficiency factors, which must always be investigated when there is a thrombo-embolic accident of unusual location.
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