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July 1982

Cerebral Vein Thrombosis and Multiple Intracranial Hemorrhages by Computed Tomography

Author Affiliations

From the Departments of Neurology (Drs Beal and Wechsler) and Neuroradiology (Dr Davis), Massachusetts General Hospital, Boston; and Harvard University Medical School, Boston (Drs Beal, Wechsler, and Davis).

Arch Neurol. 1982;39(7):437-438. doi:10.1001/archneur.1982.00510190055018

• A 24-year-old woman took birth control pills and six months later severe headaches, convulsions, and hemiparesis on the left side developed. A computed tomographic scan showed multiple areas of subcortical hemorrhage in both hemispheres and an initial angiogram was interpreted as normal. A later angiogram showed extensive cerebral venous thrombosis in both hemispheres. Despite being critically ill with incipient transtentorial herniation, the patient made an excellent recovery with conservative therapy.