Özet:

Introduction: Pregnancy and post partum represent major risk factors for Cerebral venous thrombosis (CVT) and this last is exceptional in inflammatory bowel disease. We report the case of a parturient with ulcerative colitis who presented a CVT in the immediate postpartum. We want through this case, and a review of the literature, to expose an atypical clinical presentation of CVT appearing in the postpartum. Observation: 20 years old women, followed for ulcerative colitis, received in the immidiate postpartum, antibiotic therapy for endometritis. Then transferred to intensive care for further management, with a stable haemodynamic state, aphasic, behavior trouble, SOFA score at 2. She was maintained on antibiotic and put on antidepressant for a diagnosed depression. Later, the patient presented a generalized tonic-clonic seizure and right hemiparesis. A cerebral CT scan was performed showing thrombophlebitis of the upper longitudinal sinus. Low molecular weight heparin anticoagulation curative dose and anti seizure drugs have been started. The evolution was favorable.

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