title: Migraine-like headache in cerebral venous sinus thrombosis.
abstract: A 20-year-old female, university student presented with severe, throbbing, unilateral headache, nausea and vomiting that started 2 days ago. The pain was aggravated with physical activity and she had photophobia. She had been taking contraceptive pills due to polycystic ovary for 3 months. Cranial computed tomography was uninformative and she was considered to have the first attack of migraine. She did not benefit from triptan treatment and as the duration of pain exceeded 72 h further imaging was done. Cranial MRI and MR venography revealed a central filling defect and lack of flow in the left sigmoid sinus caused by venous sinus thrombosis. In search for precipitating factors besides the use of contraceptive pills, plasma protein C activity was found to be depressed (42%, normal 70-140%), homocystein was minimally elevated (12.7 μmol/L, normal 0-12 μmol/L) and anti-cardiolipin IgM antibody was close to the upper limit.
authors: Kirikkale University, Faculty of Medicine, Department of Neurology, Kirikkale, Turkey. Electronic address: fundauysaltan@yahoo.com.
authors: Funda Uysal
authors: FU
authors: Tan
authors: Kirikkale University, Faculty of Medicine, Department of Neurology, Kirikkale, Turkey.
authors: Serdar
authors: S
authors: Tellioglu
authors: Kirikkale University, Faculty of Medicine, Department of Neurology, Kirikkale, Turkey.
authors: Rabia Soylu
authors: RS
authors: Koc
authors: Kirikkale University, Faculty of Medicine, Department of Neurology, Kirikkale, Turkey.
authors: Alev
authors: A
authors: Leventoglu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008881:Migraine Disorders / Q000209:etiology*; D010690:Phlebography; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D055815:Young Adult
keywords: Cerebral Venous Sinus Thrombosis; Headache; Migraine