Cerebral Venous Thrombosis in the Users of Hormonal Contraceptives


Authors: M. Procházka 1;  V. Procházka 2 ;  M. Lubušký 1;  J. Procházková 3;  T. Hrbáč 4
Authors‘ workplace: Porodnicko-gynekologická klinika LF UP a FN Olomouc 1;  Radiodiagnostický ústav FN Ostrava-Poruba 2;  Hemato-onkologická klinika LF UP a FN Olomouc 3;  Neurochirurgická klinika FN Ostrava-Poruba 4
Published in: Cesk Slov Neurol N 2007; 70/103(6): 678-684
Category: Short Communication

Poděkování: Autoři si dovolují poděkovat školiteli a příteli doc. MUDr. Pavlu Drábkovi z Neurochirurgické kliniky Fakultní nemocnice Ostrava-Poruba za odbornou pomoc a podporu při zpracovávání tohoto náročného tématu.

Overview

Cerebral venous thrombosis (CVT) is a dangerous disease with a difficult diagnosis. We present a retrospective analysis of 8 cases of CVT in young women who were hospitalised between April 2004 and October 2005. Thrombophilic markers were examined in all patients. The most common symptoms included headache (100%), vertigo (87.5%), hemiparesis or quadruparesis (62.5%). CT and MRI showed different types of parenchymal lesion infarction or vasogenic inflation in 62.50% and petechial haemorrhage in 25%. DSA venography confirmed the site of occlusion in the lateral and sigmoide sinus in 75%, and superior sagittal sinus (62.5%). We found 3 cases of the homozygous form of methylenetetrahydrofolate reductase (MTHFR-C677T), two patients had a plasminogen activator inhibitor-1 (PAI-1) homozygous mutation. Coexisting thrombophilic risk factors are usually involved in the onset of CVT. Early diagnosis and application of thrombolytic therapy can improve the clinical outcome.

Key words:
cerebral venous thrombosis – hormonal contraception – thrombophilia – local fibrinolysis


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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2007 Issue 6

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