Document Detail

Neurotologic presentation of sagittal sinus thromboses associated with oral contraceptive usage.
MedLine Citation:
PMID:  8296855     Owner:  NLM     Status:  MEDLINE    
Thrombosis of the cerebral venous sinuses has long been a recognized complication of late stage pregnancy and the puerperium; more recently, this complication has been associated with the use of oral contraceptives. Two cases are presented in which the presenting symptoms of sagittal sinus thrombosis were neurotologic in nature. One case presented with a sudden onset unilateral facial paralysis; another case presented with pressure/fullness sensation in one ear accompanied by nausea and vomiting. Clinical presentation and evaluation of these cases is presented, with a discussion of symptom etiology. Recommended non-invasive medical management methods are discussed. Cases in which the thrombosis involves the sigmoid, transverse, and sagittal sinuses should be suspect for etiologic sources beyond the ear even when the presenting symptoms are neurotologic in nature. Management of these cases is different from that of an otogenic sigmoid sinus thrombosis. A complete medical history taken from women of child bearing age should include the use of oral contraceptives, which may be suspect for inducing intracranial venous thromboses.
J R Dickins; S S Graham
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of otology     Volume:  14     ISSN:  0192-9763     ISO Abbreviation:  Am J Otol     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-03-03     Completed Date:  1994-03-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7909513     Medline TA:  Am J Otol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  544-7     Citation Subset:  IM    
Ear and Nose-Throat Clinic, Little Rock, Arkansas.
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MeSH Terms
Contraceptives, Oral, Hormonal / adverse effects*
Diagnosis, Differential
Facial Paralysis / diagnosis,  etiology
Functional Laterality
Jugular Veins / physiopathology*
Mastoid / drug effects,  physiopathology
Pulmonary Embolism / etiology,  physiopathology
Spinal Puncture
Thrombosis / diagnosis,  etiology*,  physiopathology*
Reg. No./Substance:
0/Contraceptives, Oral, Hormonal

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