Deep cerebral venous system thrombosis: case report.
A 38-year-old woman with thrombosis of the deep cerebral venous system, presumed to be secondary to the use of the oral contraceptive pill, is reported. The use of cerebral angiography and magnetic resonance imaging in establishing the diagnosis and management strategies is discussed. It is concluded that magnetic resonance imaging is an appropriate investigative modality for diagnosis and therapeutic decision making, and that, as with superficial cerebral dural sinus and venous thrombosis, anticoagulation is a safe and effective therapy.
Brown
J I
JI
Division of Neurosurgery, Toronto Hospital, Ontario, Canada.
Coyne
T J
TJ
Hurlbert
R J
RJ
Fehlings
M G
MG
Ter Brugge
K G
KG
D000328:Adult; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000473:pathology; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects* / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004997:Ethinyl Estradiol / Q000009:adverse effects* / Q000627:therapeutic use; D019304:Ethinyl Estradiol-Norgestrel Combination; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D009644:Norgestrel / Q000009:adverse effects* / Q000627:therapeutic use; D012851:Sinus Thrombosis, Intracranial / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
D003278:Contraceptives, Oral, Hormonal; D009644:Norgestrel; D004997:Ethinyl Estradiol; D014859:Warfarin; D019304:Ethinyl Estradiol-Norgestrel Combination; D006493:Heparin