Cerebral venous sinus thrombosis in the setting of combined vaginal contraception

被引:12
作者
Vo, Timothy L. [1 ]
Cook, Rhett M. [2 ]
Rondina, Matthew T. [2 ]
Kaplan, David [2 ]
机构
[1] SUNY Upstate Med Univ, Syracuse, NY 13210 USA
[2] Univ Utah, Hlth Sci Ctr, Salt Lake City, UT 84132 USA
关键词
venous thromboembolism; NuvaRing; etonogestrel/ethinyl estradiol vaginal ring; contraception; cerebral venous sinus thrombosis; COMBINED HORMONAL CONTRACEPTIVES; ORAL-CONTRACEPTIVES; RING; RISK; PHARMACOKINETICS; ETONOGESTREL; COAGULATION;
D O I
10.1097/MBC.0b013e3283658ae2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a 27-year-old women admitted to the hospital with migraine and left upper extremity weakness. Subsequent imaging with computed tomography and magnetic resonance angiography/venography demonstrated an acute-appearing central venous sinus thrombosis. Her only risk factor for venous thromboembolism (VTE) was the use of etonogestrel/ethinyl estradiol vaginal contraceptive ring (NuvaRing). The contraceptive ring was removed and the patient was treated according to the current guidelines. She achieved full neurologic recovery at 6 months' follow-up. Here, we describe this unusual case and review the risk of VTE between combined vaginal contraception and combined oral contraception.
引用
收藏
页码:183 / 185
页数:3
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