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DOI: 10.48087/BJMS.2026.130319
Authors: Abdourahaman ABOUBACAR NAHANTCHI1, Djibrilla BEN ADJI1,2, Mamane MAIKASSOUA2,4, Babana ADAMOU4, Ousmane ISSOUFOU HAMA4
Affiliations: 1- Service de Neurologie de l’Hôpital de Référence de Maradi – Niger. 2- Université Dan Dicko Dankoulodo de Maradi – Niger. 3- Services d’Anesthésie et Réanimation de l’Hôpital de Référence de Maradi – Niger. 4- Service de Neurochirurgie de l’Hôpital de Référence de Maradi – Niger.
Abstract
Cerebral venous thrombosis (CVT) is a neurological emergency. In young women, CVT occurs more frequently postpartum than during pregnancy. The clinical manifestations are polymorphic, characterized by neurological or psychiatric signs. The presence of cerebral hemorrhage on imaging in CVT poses a diagnostic challenge. We report the case of a 20-year-old Nigerien woman who was admitted to the neurology department of Maradi Referral Hospital for bilateral hemorrhagic suffusion in the parafalcine region of the brain, revealing cerebral venous thrombosis. The patient received treatment with low-molecular-weight heparin (enoxaparin) at an anticoagulant dose for 10 days, followed by acenocoumarol and triple antibiotic therapy with metronidazole, gentamicin, and ceftriaxone, as well as motor rehabilitation. At three-month follow-up, the clinical outcome was characterized by recovery of muscle strength in the upper limbs and partial recovery in the lower limbs, with the ability to walk without assistance, and complete resolution of aphasia.
Keywords: Hemorrhagic cerebral, venous thrombosis, Postpartum.