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.
journal_name
Neurol Neurochir Poljournal_title
Neurologia i neurochirurgia polskaauthors
Tan FU,Tellioglu S,Koc RS,Leventoglu Adoi
10.1016/j.pjnns.2015.01.005subject
Has Abstractpub_date
2015-01-01 00:00:00pages
78-80issue
1eissn
0028-3843issn
1897-4260pii
S0028-3843(15)00006-7journal_volume
49pub_type
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journal_title:Neurologia i neurochirurgia polska
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