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Cerebral Venous Thrombosis With Topical Estrogen-Progesterone Use in a Young Heterosexual Male: A Case Report.
Aldraihem, Moneera O; Al-Senani, Fahmi; Bashir, Shahid.
Afiliación
  • Aldraihem MO; Department of Neurology, National Neurosciences Institute, King Fahad Medical City, Saudi Arabia.
  • Al-Senani F; Department of Neurology, National Neurosciences Institute, King Fahad Medical City, Saudi Arabia.
  • Bashir S; Neuroscience Center, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Neurologist ; 28(3): 184-186, 2023 May 01.
Article en En | MEDLINE | ID: mdl-35858630
ABSTRACT

INTRODUCTION:

Our report sheds light on the risk of topical hormonal use in relation to cerebral venous sinus thrombosis. We diagnosed our patient with cerebral venous thrombosis (CVT) using computed tomography venogram, then detailed history and examination were obtained, and thorough blood tests and imaging were done to exclude other causes of CVT like thrombophilias, infections, and malignancies. CASE REPORT Our patient is a 37-year-old heterosexual male, presented with headache only. The computed tomography venogram showed extensive CVT in the right internal jugular vein, sigmoid, transverse, and straight cerebral venous; detailed history and investigations suggest that his use of crushed oral contraceptive pills mixed with water topically on the scalp is the most important predisposing factor. This patient was managed with anticoagulants and is being followed in the clinic.

CONCLUSION:

Oral hormonal use in contraceptives is a known risk factor for CVT. This case sheds light on the importance of topical hormonal use concerning CVT in females and males; it stresses the need for more studies in that area, as it is poorly studied.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Trombosis de los Senos Intracraneales / Trombosis de la Vena / Trombosis Intracraneal Tipo de estudio: Risk_factors_studies Idioma: En Revista: Neurologist Asunto de la revista: NEUROLOGIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Trombosis de los Senos Intracraneales / Trombosis de la Vena / Trombosis Intracraneal Tipo de estudio: Risk_factors_studies Idioma: En Revista: Neurologist Asunto de la revista: NEUROLOGIA Año: 2023 Tipo del documento: Article