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^1,2,3,5S.B. Tepecik Eğitim ve Araştırma Hastanesi Nöroşirürji Kliniği, İzmir
⁴S.B. Ege Doğumevi ve Kadın Hastalıkları Araştırma ve Eğitim Hastanesi, İzmir
⁶Ege Üniversitesi Tıp Fakültesi Nöroşirürji Ana Bilim Dalı, İzmir The most common reasons of Cerebral Venous Thrombosis (CVT) are pregnancy, puerperium, and oral contraceptive use. The overall incidence of thromboembolic disease is 0.13 % during pregnancy and the puerperium, and remains the leading direct cause of maternal morbidity and mortality in developed countries. This rare, severe disease is clinically characterized by headache, papilledema, seizures, focal deficits, coma, and death. Thrombosis of the cerebral venous sinuses, particularly of the superior sagittal or lateral sinus and the tributary cortical and deep veins, gives rise to a number of important neurological syndromes. In the last 30 years, the introduction and widespread use of cerebral angiography, computerized tomography of the brain, and more recently magnetic resonance imaging have allowed early diagnosis of CVT. Our case, a 31-year-old young woman in the 5th day of puerperium, had a secondary hemorrhagic infarct caused by CVT. After admission, she rapidly progressed towards brain herniation and immediately underwent cranial decompression. She had a good recovery and returned to her normal life. Protein S was found to be low during coagulation screening. Anahtar Kelimeler : Cerebral venous thrombosis, Pregnancy, Surgery