Sinus Venous Thrombosis by Brandon Foreman

In this quick, five minute talk, Brandon updates us on Sinus Venous Thrombosis. This includes what it is, what it looks like and how to diagnose it. Brandon starts with a case – a 37-year-old woman, who is 8 weeks pregnant, presents with what she describes as the worst headache of her life. She has a history of migraines, so this is Brandon’s first thought and possible initial diagnosis. But... it turns out to be more than just a migraine... Brandon explains that what we should be looking for here is venous sinus thrombosis. This is characterised by a sub-acute onset of a headache and risk factors. In this case, hormonal changes which are related to her pregnancy, making her at higher risk. The key takeaway? A headache with risk factors (in particular anything that will cause a Hypercoagulable state) plus or minus seizures, usually means we should be looking for this condition. Brandon suggests that we need to be suspicious of this condition and that we need to look for it. Even if it isn’t obvious at first. Next, Brandon takes us through a second case which tells us that bilateral stroke usually means venous sinus thrombosis, until proven otherwise. From DAS SMACC, tune in to an interesting and quick update by Brandon Foreman on how to identify and diagnose this condition. For more, head to https://codachange.org/podcasts/