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Two women with cerebral venous thrombosis: oral contraceptives?

V M dos Santos1, L M Andrade2, C T Leal2

  • 1Catholic University Medical Course, Brasilia-DF, Brasil. vitorinomodesto@gmail.com

The West Indian Medical Journal
|February 26, 2014
PubMed

Two cases of cerebral venous thrombosis are reported. Patients were apparently healthy 39 and 28-year old females with non-specific presenting features. Image findings were characteristic of cerebral sinus thrombosis. The younger patient received progesterone to treat placental abruption eight years previously; she had cerebral venous thrombosis while using oral contraception. Both patients had used contraceptive pills for a long time. Oral hormonal contraceptives may increase the risk of vascular events, even in people without personal or family history of venous thrombosis. Modern imaging methods have contributed to early diagnosis, but the possibility of under diagnosis still persists. This report aims to increase the awareness of health-workers about cerebral venous thrombosis in women, an entity often misdiagnosed, under diagnosed and under-reported.

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