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Postpartum Left-Sided Numbness and Right-Sided Shaking 

Postpartum Left-Sided Numbness and Right-Sided Shaking
Chapter:
Postpartum Left-Sided Numbness and Right-Sided Shaking
Author(s):

M. Angela O’Neal

DOI:
10.1093/med/9780190609917.003.0019
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date: 22 September 2017

The chapter discusses cerebral venous thrombosis (CVT) in pregnancy. The signs and symptoms of the patient depend on which venous sinus is clotted. The clinical features may include headache, bilateral symptoms, hemorrhagic stroke, and seizures. The headaches are related to elevated intracranial pressure and can mimic those of idiopathic intracranial hypertension. Hematological changes that occur in pregnancy result in a hypercoagulable state; this normal physiology can predispose in certain situations to CVT. Other factors associated with an increase in the risk of clotting include infection, fluid loss, inactivity, and C-section. CVT is treated with anticoagulation, whereas seizures and other complications are managed symptomatically. The length of anticoagulation depends on whether additional clotting abnormalities are discovered. Anticoagulation is recommended for future pregnancies.

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