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Videnskab / 13. mar 2017

Cerebral venetrombose tolket som migræneanfald

Kasuistik
Dato
13. mar 2017
Forfattere
Omar A. Karim1, Adis Dizdarevic2 & Mohammad Motawea3 1) Medicinsk Center, Sygehus Sønderjylland, Sønderborg 2) Hudkliniken, Skånes Universitetssjukhus Lund 3) Medicinsk Afdeling, Sygehus Lillebælt, Vejle Sygehus Ugeskr Læger 2017;179:V09160616
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Reference: 
Ugeskr Læger 2017;179:V09160616
Sidetal: 
2-3
Cerebral venous thrombosis misinterpreted as migraine
A 23-year-old woman with known tension-type headache and in treatment with oral contraceptives was hospitalized with headache, nausea and vomiting during two weeks. Prior to hospitalization the symptoms had been interpreted as migraine. Blood samples including D-dimer were normal. A computed tomography showed cerebral venous thrombosis (CVT), so the patient was treated with anticoagulation drugs and her symptoms remitted slowly. CVT is a dangerous condition, and the symptoms can have a fluctuating course which can mask the diagnosis. D-dimer cannot be used to exclude CVT, and attention should be paid to the risk factors.

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