Left intracranial venous thrombosis after word progesterone (4 Lee )

Abstract

This article reports 4 cases of superior sagittal sinus thrombosis in women after taking estrogen and progesterone, and discusses the 25 cases reported in the literature. The clinical manifestations are divided into three characteristic periods: ① Herald headache - severe, lasting for hours to days, with no fixed location (forehead, migraine or diffuse), often accompanied by nausea or vomiting and severe worry. This headache seems to be the best alarm symptom. ② Signs of hemispheric lesions - Half of the patients begin with Jackson's attack. The most striking are signs of damage to the paracentral area, such as shoulder and lower limb involvement, parietal lobe syndrome