title: [The difficulties with the diagnosis of cerebral sinus thrombosis of a young woman - a case report].
abstract: Cerebral venous stroke is disfunction of brain cause by thrombosis of cerebral veins or thrombosis of sinus of the dura mater. This disease represents about 0,5-1% of all strokes. Women are ill more often. There are over 100 factors which cause this disease. The most often symptoms are headache, epileptic fit, oedema of optic nerve, loss of visual acuity, speech defects. Magnetic resonance proves the diagnosis. MRI with contrast is recommended.
  
  
  METHODS
  We show the case of a young woman taking the oral contraceptive pill whose only symptom of venous thrombosis for a few days was a strong headache. When the woman was admitted to hospital, she didn't have any other symptoms ( in neurology examine, tomography and blood tests). The severity of headache after lumbar puncture (because of suspected subarachnoid bleeding) suggested presented of post-dural-puncture headache, which delayed the correct diagnosis. It was not until after the symptoms of the focal brain damage appeared on the fifth day that we finally made the correct diagnosis confirmed by some additional tests/examinations. Thus we started causal and symptomatic treatment. The difficulties we had with making the correct diagnosis indicate that the recognition of cerebral thrombosis should be taken into account when treating every young woman taking contraceptive pills and suffering from strong headaches. Headaches can be the only symptom of venous stroke in 90% of cases.
authors.affiliation: Medical University of Lodz, Poland: Department of Neurology and Brain Stroke University Clinical Hospital Military Memorial Medical Academy - Central Veteran`s Hospital.
authors.forename: Justyna
authors.initials: J
authors.lastname: Kaczmarek
authors.affiliation: Medical University of Lodz, Poland:Department of Neurology and Brain Stroke.
authors.forename: Alicja
authors.initials: A
authors.lastname: Kozera-Kępniak
authors.affiliation: Medical University of Lodz, Poland: Department of Radiological and Isotopic Diagnosis and Therapy.
authors.forename: Agata
authors.initials: A
authors.lastname: Majos
authors.affiliation: Medical University of Lodz, Poland: Department of Neurology and Brain Stroke.
authors.forename: Beata
authors.initials: B
authors.lastname: Kaczorowska
mesh_terms: D000328:Adult; D003270:Contraceptive Agents; D003937:Diagnosis, Differential; D005260:Female; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis; D006261:Headache; D006801:Humans; D008279:Magnetic Resonance Imaging; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis* / Q000628:therapy; D063189:Symptom Assessment
chemical_list: D003270:Contraceptive Agents; D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
keywords: diagnostics thrombosis of sinus of the dura mater; headache; thrombosis of sinus of the dura mater; treatment thrombosis of sinus of the dura mater