A Rare Case of Postpartum Cerebral Venous Thrombosis and Hemorrhagic Infarction From Somalia

Mustafa Mumin Adem,1,2 Abdirahman Omer Ali,1,3 Muhiadin Ismail Abdi,1,4 Jama Osman Hirsi,5 Ahmed Abdi Aw Egge,1,3 Mohamoud Hashi Abdi,1,6 Mohamed Abubakar Muhumed,1 Hassan Elmi Moumin,1,7 Hodo Abdi Abdilahi4 1College of Health Sciences, School of Medicine and Surgery, Amoud University, Borama, Somalia; 2Borama Regional Hospital, Psychiatric Department, Borama, Somalia; 3School of Postgraduate Studies and Research, Amoud University, Amoud Valley, Borama, 25263, Somalia; 4Borama Regional Hospital, Gynecological Department, Borama, Somalia; 5Hargeisa Group Hospital, Neurology Department, Hargeisa, Somalia; 6Borama Regional Hospital, Radiology Department, Borama, Somalia; 7Borama Regional Hospital, Surgery Department, Borama, SomaliaCorrespondence: Abdirahman Omer Ali, Email [email protected]: Cerebral venous thrombosis (CVT) is a rare but serious complication that can occur during pregnancy and the postpartum period. This case report discusses a unique instance of postpartum CVT complicated by hemorrhagic infarction in a patient from Somalia.Case Presentation: We report the case of a 35-year-old woman, gravida 9, para 8, who presented on the 13th postpartum day with right-sided weakness, seizures, and severe headache. Initially misdiagnosed as impending eclampsia due to the absence of hypertension and proteinuria, she underwent CT and MRI scans, revealing a significant superior sagittal sinus thrombosis with hemorrhagic infarction. The patient was treated in the ICU with increased intracranial pressure management, seizure prophylaxis, and anticoagulation therapy, resulting in substantial clinical improvement.Discussion: This case emphasizes the necessity of maintaining a high index of suspicion for CVT in postpartum women displaying neurological symptoms. Misdiagnosis can impede timely intervention, highlighting the need for access to advanced imaging and a multidisciplinary approach. Increasing awareness and training for healthcare providers are essential for timely diagnosis.Conclusion: The management of this case illustrates the importance of early recognition of CVT in the postpartum population. Enhancing diagnostic resources and treatment strategies, particularly in resource-limited settings, can significantly improve maternal health outcomes and reduce morbidity and mortality.Keywords: cerebral venous sinus thrombosis, postpartum, hemorrhagic infarction, eclampsia, maternal health, Somaliland, neurology, anticoagulation