title: [Oral contraceptive drugs, hyperhomocysteinaemia and cerebral ischaemic events in a 31-year-old woman--a case report].
abstract: We present a case of a 31-year-old female who was admitted to the hospital due to recurrent syncope. Transoesophageal echocardiography revealed the presence of an interventricular septum defect with insignificant left-to-right shunt and excluded intracardiac thrombi. Magnetic resonance of brain showed several ischaemic areas of vascular origin. Tests for arrhythmias or vaso-vagal reflex as the causes of syncope were negative. Further examinations revealed hyperhomocysteinaemia which, together with prolonged oral contraceptive treatment, might have caused cerebral arterial thrombosis.
authors.affiliation: Oddział Kardiologii, Szpital Specjalistyczny im. Sw. Łukasza, ul. Gimnazjalna 41b, 26-200 Końskie. malkol@esculap.pl
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Kołodziej
authors.forename: Halina
authors.initials: H
authors.lastname: Brzyzkiewicz
authors.forename: Marianna
authors.initials: M
authors.lastname: Janion
mesh_terms: D000328:Adult; D002545:Brain Ischemia / Q000097:blood / Q000209:etiology*; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D020138:Hyperhomocysteinemia / Q000097:blood / Q000150:complications*
chemical_list: D003278:Contraceptives, Oral, Hormonal