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: December 1, 2010  Show citation