Oral Contraceptives Induced Cerebral Venous Thrombosis: A Case Report

相對於動脈疾病而言，顱內靜脈栓塞是腦中風較為罕見的原因，但仍是腦中風時需鑑別的重要原因。它的臨床症狀差異很大，可以以單純的頭痛到非特異性的致死性昏迷來表現。女性比男性有較高的發生率。而偏頭痛患者若同時使用口服避孕藥會增加顱內靜脈竇栓塞的風險。我們將報告一位17歲患有偏頭痛的女性病人，因服用口服避孕藥繼而引發顱內靜脈竇栓塞，並造成缺血性中風的個案。除了病史的介紹，我們也做了簡短的文獻回顧。對於這類病人的內科治療，原則上和動脈疾病造成的中風是類似的，均以穩定病人為主。

關鍵字

顱內靜脈栓塞；口服避孕藥

並列摘要

Thrombosis of the venous channels in the brain is an uncommon cause of cerebral infarction relative to arterial disease but is an important consideration because of its potential morbidity. The clinical presentation is highly variable and nonspecific ranging from merely a simple headache to a deadly coma. Women have a higher incidence than men. The use of oral contraceptives and being a sufferer of migraine increase the risk of the development of cerebral venous thrombosis (CVT). Herein, we present a brief review of CVT and report a 17-year-old woman who developed migraine and ischemic stroke due to CVT following oral contraceptives medication. Medical management of patients with CVT is similar to that of patients with arterial stroke as far as stabilizing the patient is concerned.

並列關鍵字

cerebral venous thrombosis ； oral contraceptives

國際替代計量

Oral Contraceptives Induced Cerebral Venous Thrombosis: A Case Report

全文下載

主題瀏覽