Cerebral venous thrombosis in pregnancy, first trimester
ICD-10 O22.51 is a billable code used to indicate a diagnosis of cerebral venous thrombosis in pregnancy, first trimester.
Cerebral venous thrombosis (CVT) is a rare but serious condition that can occur during pregnancy, particularly in the first trimester. It involves the formation of a thrombus in the cerebral veins, leading to increased intracranial pressure and potential neurological deficits. The risk factors for CVT in pregnancy include hypercoagulable states, dehydration, and prolonged immobility. Symptoms may include headache, visual disturbances, seizures, and focal neurological signs. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal the presence of thrombus in the cerebral venous system. Management often includes anticoagulation therapy to prevent further clot formation and to mitigate the risk of complications. Close monitoring is essential, as the condition can lead to significant morbidity if not addressed promptly. The first trimester is a critical period for both maternal and fetal health, making accurate diagnosis and management vital.
Detailed history of the patient's pregnancy, including any previous thromboembolic events, current symptoms, and treatment plans.
A pregnant patient presenting with severe headaches and neurological symptoms requiring imaging and anticoagulation therapy.
Consideration of the risks and benefits of anticoagulation therapy for both mother and fetus.
Comprehensive documentation of maternal and fetal health, including any complications arising from CVT.
Management of a high-risk pregnancy where the mother has a history of venous thromboembolism.
Close monitoring of fetal development and maternal health during anticoagulation therapy.
Used when a patient presents with symptoms of CVT for evaluation.
Document the patient's history, examination findings, and any imaging results.
Obstetricians should ensure that the visit is clearly linked to the management of a pregnancy-related condition.
Common symptoms include severe headaches, visual disturbances, seizures, and focal neurological deficits. Prompt recognition and management are crucial to prevent complications.
