Journal of Education and Teaching in Emergency Medicine

Cerebral venous thrombosis (CVT) is an uncommon occurrence, but it carries significant morbidity.¹  CVT symptoms overlap with other common emergency department conditions, and it requires a specific neuroimaging for accurate detection, making this diagnosis a significant challenge for emergency clinicians. We present a case of a 20-year-old postpartum woman with a history of a post-dural puncture headache following a spinal block with worsening headache and disequilibrium.  She was found to have a cerebral venous thrombosis on non-contrast head CT and CT venogram of the head.  Her course was uncomplicated with appropriate symptom control while on anticoagulation.  We review her CT imaging findings and provide a brief review of the current recommendations and literature on CVT.