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Updated: Mar 5, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
18.8K
[Cerebral venous thrombosis misinterpreted as migraine]
Omar A Karim1, Adis Dizdarevic, Mohammad Motawea
1omabd07@gmail.com.
Ugeskrift for Laeger
|March 24, 2017
Summary
Cerebral venous thrombosis (CVT) can present with non-specific symptoms like headache, mimicking migraine. Early diagnosis and anticoagulation are crucial, as D-dimer tests may not rule out CVT.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Tension-type headache and oral contraceptive use are potential risk factors.
- Migraine-like symptoms can mask serious underlying conditions.
Observation:
- A 23-year-old woman presented with persistent headache, nausea, and vomiting.
- Initial diagnosis considered migraine, delaying definitive treatment.
Findings:
- Computed tomography confirmed cerebral venous thrombosis (CVT).
- D-dimer levels were normal, highlighting its limitation in excluding CVT.
- Anticoagulation therapy led to slow symptom remission.
Implications:
- Cerebral venous thrombosis requires high clinical suspicion, especially with risk factors.
- Diagnostic imaging is essential for accurate CVT diagnosis.
- Understanding CVT's variable presentation is key for timely intervention.
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