Interní Med. 2010; 12(10): 506-508 [Neurol. praxi. 2010;11(5):339-341]

Cerebral venous trombosis covered by migraine

MUDr.Miroslava Fauknerová^1,2, MUDr.Tomáš Peisker^1,2, MUDr.Eva Medová^1,2, MUDr.David Doležil, Ph.D.^1,2

¹ Neurologická klinika, FNKV, Praha

² Univerzita Karlova v Praze, 3. lékařská fakulta, Praha

A 26-year-old patient, currently on hormonal contraceptive medication, with a prior medical history of common migraine and a mild head injury

was admitted in our department for typical presentation of a migrenous headache. No significant neurological findings during her medical

examination. Due to the prolonged course of a headache, risk factors and changes in presentation of a headache a CT scan was requested. Due

to the suspission of venous thrombosis MRI of the brain was also requested. Thrombosis of the sigmoid and transverse sinuses were proven.

It is a tendency or common practise, not to pay so much attention as to include secondary cause of a headache, in the differential diagnosis of

patients already suffering from the primary headaches. Therefore it is necessary to consider morphological examination of a brain, especially

when there is an atypical presentation headache combined with other major risk factors. The objective of the case study is to highlight the

problems associated with the diagnosis of cerebral venous thrombosis, in a patient suffering primary headaches.

Keywords: cerebral venous trombosis, migraine, diagnosis

Published: November 15, 2010  Show citation