title: A neurological complication of a uterine fibroid.
abstract: BACKGROUND
  Uterine leiomyoma (or fibroid) can be associated with secondary polycythemia and venous thrombosis, but there has been no report of intracranial venous thrombosis associated with leiomyoma.
  
  
  METHODS
  We describe a case report of a cerebral venous thrombosis associated with erythrocytosis and a uterine fibroid in a non-smoking female with no history of malignancy or hormone use. The hemoglobin and erythropoietin normalized after removal of her uterine fibroid.
  
  
  RESULTS
  MRI/MRV of this 60-year-old cephalalgic female revealed extensive thrombus throughout the sagittal sinus and right transverse sinus. CT of the abdomen revealed a 16 × 13 × 12 cm solid mass arising for the uterus consistent with a uterine fibroid. PET scan was negative for malignancy. Hemoglobin on admission was 18.4 g/dl. Erythropoietin was 16.6 mIU/ml. One month after hysterectomy, her hemoglobin was 12.6 g/dl and her erythropoietin was 4.7 mIU/ml.
  
  
  CONCLUSIONS
  Cerebral vein thrombosis is a potential complication of uterine fibroids with erythrocytosis.
authors: Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
authors: Jonathan
authors: J
authors: Graff-Radford
authors: David T
authors: DT
authors: Jones
authors: Rajiv K
authors: RK
authors: Pruthi
authors: Kelly D
authors: KD
authors: Flemming
mesh_terms: D005260:Female; D006801:Humans; D020227:Lateral Sinus Thrombosis / Q000209:etiology*; D007889:Leiomyoma / Q000150:complications*; D008875:Middle Aged; D011086:Polycythemia / Q000209:etiology*; D020225:Sagittal Sinus Thrombosis / Q000209:etiology*; D014594:Uterine Neoplasms / Q000150:complications*