A 27 years old female comes to ER with severe headache lasting for 48 hours. Associated with multiple episodes of vomiting and dizziness. There is no past medical history of HTN or Diabetes or Autoimmune disorders. CT head along with all routine labs done. Differential diagnosis ?

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haemorrhagic infarct

Hemorrhagic infarct plus ?
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cortical sinus thrombosis

get MRV.....

Done.
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Cerebral sinus thrombosis extending from sigmoid sinus to transverse sinus.....R/o Pregnancy, OCP use, Prothrombotic state, Connective tissue disorders, may also occur in dehydrated states though.....

There are more findings on ct scan, other than CSVT ?
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hemorrhage with edema. ? probable venous infarct. CT or Mr venogram

Yes. There is haemorrhage plus ?
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CVT ...history of csom ?Need MRI brain and MRV

mannitol, clexane

Why LMWH when hemorrhage is present ?
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tab trendz 1000 od

What ?
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if it is venous infarct, clexane should be given though there is hemorrhage. in other bleeds clexane contraindicated.

venous infarct will have some hemorrhage within it. LMWH should not be withheld by looking at hemorrhage

agreed
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