title: Iatrogenic venous thrombosis secondary to supplemental medicine toxicity.
abstract: OBJECTIVE
  We described a case of cerebral venous sinus thrombosis in a patient taking multiple supplements as part of a naturopathic anti-aging regimen.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  The patient presented with a thalamic infarct associated with a thrombus in the vein of Galen. He reported no previous history of endocrinopathy and no known hypercoagulability risk factors. He was treated with therapeutic anticoagulation resulting in improvement. Diagnostic workup revealed hyperthyroidism and gonadotrophic deficiency attributed to significant supplement medicine usage.
  
  
  CONCLUSIONS
  This case highlights a potential risk of dietary supplements. Use of these supplements may be a risk factor for idiopathic cerebral venous thrombosis.
authors: Cleveland Clinic, Cleveland, OH, USA. neweyc@ccf.org
authors: Christopher Ryan
authors: CR
authors: Newey
authors: Aarti
authors: A
authors: Sarwal
authors: Deborah
authors: D
authors: Tepper
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D003392:Cranial Sinuses / Q000473:pathology*; D019587:Dietary Supplements / Q000009:adverse effects*; D006062:Gonadotropins / Q000172:deficiency*; D006801:Humans; D006980:Hyperthyroidism / Q000139:chemically induced*; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D009324:Naturopathy; D019338:Polypharmacy; D012307:Risk Factors; D012851:Sinus Thrombosis, Intracranial / Q000139:chemically induced* / Q000188:drug therapy; D014680:Veins / Q000473:pathology*; D020246:Venous Thrombosis / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D000925:Anticoagulants; D006062:Gonadotropins