Intrapartum management of anticoagulation in a pregnant woman with acute cerebral venous sinus thrombosis undergoing vaginal delivery

Cerebral venous sinus thrombosis (CVST) is a neurological emergency caused by occlusion of the dural venous sinus and/or the cerebral veins. It is more common in women during pregnancy and puerperium. Described here is a woman with an expanding CVST diagnosed at 36 weeks of gestation who had a successful vaginal delivery at 38 weeks of gestation with meticulous anticoagulation and labour management, multidisciplinary team input and close monitoring.