Cerebral Venous Sinus Thrombosis (CVST) Recovery Care in Delhi: A Case Study on Neurological Rehabilitation Support

Patient Background

Mrs. Neha Bansal (name changed for privacy) is a 52-year-old school administrator living in Vasant Kunj, Delhi. She leads an active life, managing administrative duties at a local school and enjoying her evenings with her husband and daughter. Her medical history was largely unremarkable, with no chronic conditions like hypertension or diabetes.

The sudden onset of her illness began with a persistent, severe headache that over-the-counter painkillers could not relieve. Over the next 48 hours, she developed weakness in her left arm and experienced difficulty speaking. Her husband immediately rushed her to a tertiary care hospital in South Delhi. The sudden decline in her baseline function was frightening for the family. Her husband, a 56-year-old businessman, had to take a leave of absence to manage her care. The family realized that after discharge, she would need significant support to regain her independence.

Clinical Diagnosis

At the hospital, an emergency MRI and MR Venogram of the brain revealed a clot in the superior sagittal sinus. The clinical diagnosis was Cerebral Venous Sinus Thrombosis (CVST).

CVST is a rare form of stroke that occurs when a blood clot forms in the brain’s venous sinuses. This prevents blood from draining away from the brain, leading to increased intracranial pressure. The clinical priority post-discharge was to prevent clot extension, manage anticoagulation therapy safely, and rehabilitate the weakened limbs.

Hospital Treatment

Mrs. Bansal was admitted to the Neurology ICU for close monitoring. The medical team administered systemic anticoagulation therapy (low molecular weight heparin) to dissolve the clot and prevent new ones from forming. She remained in the ICU for five days to monitor her neurological status and ensure no hemorrhagic transformation occurred.

Once stabilized, she was moved to a general ward for four days. Here, she began initial bedside physiotherapy. The treating neurologist transitioned her to oral anticoagulants and planned for discharge. The hospital team emphasized that the next phase of recovery would be crucial and required strict medication adherence and structured rehabilitation.

Why Home Healthcare Was Needed

The transition from hospital to home is a vulnerable period for stroke and CVST patients. The family needed professional support for several clinical reasons:

• Anticoagulation Management: Mrs. Bansal was on blood thinners. Missing a dose or taking too much could lead to severe complications like bleeding or recurrent clotting. A professional nurse was needed to manage this schedule.
• Fall Prevention: Because she was on blood thinners, a simple fall could cause life-threatening internal bleeding. Her unsteady gait required supervised mobility.
• Neurological Fatigue: Traveling to an outpatient rehab center in Delhi traffic would exhaust her, counteracting the benefits of therapy. Home-based care conserved her energy for actual rehabilitation.
• Caregiver Capacity: Her husband was physically capable but lacked the medical training to handle emergencies or guide neurological rehab. He needed clinical backup to feel confident.

Engaging professional patient care services ensured that her recovery continued safely in a controlled environment.

Home Care Plan by AtHomeCare

A comprehensive care plan was designed by the AtHomeCare clinical team. The focus was on neurological monitoring, safe rehabilitation, and medication discipline.

Recovery Timeline

Neurological recovery is a slow process. The 10-week timeline below documents her steady, incremental progress.

Clinical Evidence

The following tables document the clinical parameters and functional improvements observed over the 10-week period.

Functional Status & Mobility Progress

Medication & Vitals Monitoring

Medical Authority

This case study has been clinically reviewed to ensure medical accuracy and adherence to evidence-based neurological recovery protocols. For patients requiring complex recovery support, our home nursing services provide a critical bridge between hospital discharge and long-term stability.

Dr. Ekta Fageriya, MBBS

RMC Registration No.: 44780

Specialization: Geriatric Medicine

Clinical Experience: 7 Years

Supporting Clinical Documents

The management of this case was guided by standard neurological and nursing protocols.

• Discharge Summary: Detailing the MRI findings, ICU course, and anticoagulation plan.
• Physiotherapy Progress Notes: Documenting gait analysis, balance scores, and exercise tolerance.
• Nursing Medication Logs: Verifying strict adherence to the oral anticoagulant schedule.

Note: Specific patient identifying information and private medical records have been excluded to maintain confidentiality.

Recovery Outcome

The structured home healthcare plan yielded significant improvements in Mrs. Bansal’s quality of life over 10 weeks.

• Mobility: She transitioned from being bed-bound to walking independently indoors with a single-point stick.
• Safety: No falls occurred during the recovery period, a critical success given her anticoagulation therapy.
• Medical Stability: Blood pressure remained stable. Medication adherence was 100%, preventing any recurrent thrombotic events.
• Family Feedback: Her husband reported a significant reduction in anxiety. He was able to return to his work commute to DLF Cyber City, Gurgaon knowing his wife was safe with the caregiver.

While she still experiences mild fatigue in the evenings, she has resumed many of her household administrative tasks. The family now feels equipped to manage her continued recovery. For patients with severe deficits requiring higher acuity care, we also provide specialized ICU at home in Delhi services, though Mrs. Bansal’s progress allowed her to remain in a standard home care setting.

Key Clinical Learnings

Frequently Asked Questions

Contact Information