BACKGROUND:

cerebral venous thrombosis is infrequent, but with the highest incidence during pregnancy and puerperium.

OBJECTIVE:

to review the most recent bibliography and propose a treatment option for the patient with cerebral venous thrombosis during puerperium.

CLINICAL CASE:

a 30 year old patient with a history of two pregnancies and two Cesarean sections. On the seventh day of puerperium she presented edema of the lower limbs, high blood pressure, headache and visual disorders. Antihypertensive treatment with nifedipine and neuroprotection with magnesium sulfate, hypertension was controlled although the headache and blurry vision and double vision symptoms persisted. The MRI results reported: venous thrombosis of the left lateral transverse sinus. With anticoagulant treatment there was significant decrease of neurological symptoms.

CONCLUSIONS:

since preeclampsia and eclampsia can hide symptoms of cerebral venous thrombosis, it is important to always consider both conditions for the timely diagnosis and treatment of both.