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Indian Journal of Emergency Medicine 10(1):p 7-10, January-March 2024. | DOI: https://doi.org/10.21088/ijem.2395.311X.10124.1
Case Report
An Unusual Case of Headache: Joining the Dots in the Emergency Room
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Emergency Medicine 10(1):p 7-10, January-March 2024. | DOI: https://doi.org/10.21088/ijem.2395.311X.10124.1
How Cite This Article:
Dey R. An unusual case of headache: joining the dots in the emergency room. Indian J Emerg Med. 2024;10(1):7-10.Timeline
Received : October 31, 2023
Accepted : November 30, 2023
Published : March 30, 2024
Abstract
Headache is one of the commonest presenting complaints in the Emergency Room. In theYoung population with no significant history of any medical condition or trauma, it seldom Raises suspicion of an ominous etiology. In this case report we present an unusual case of a Young unmarried female presenting to the ED with acute onset headache and vomiting. After Initiation of primary treatment, the patient was subjected to MRA and MRV of the brain which was suggestive of thrombosed mid part of Superior Sagittal Sinus, right Sigmoid and right Transverse sinus. On eliciting the SAMPLE history of the patient, the risk factor of polycystic Ovarian syndrome and intake of Norethisterone for Abnormal Uterine Bleeding was known. Provisional diagnosis of Norethisterone induced Cerebral Venous Sinus Thrombosis was Considered and patient was initiated on treatment with Enoxaparin (Low Molecular weight Heparin) followed by long term NOAC and lifetime avoidance of Norethisterone and other Prothrombotic drugs.
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Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Acknowledgements
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Conflicts of Interest
We declare that we do not have any conflict of interest
About this article
Cite this article
Dey R. An unusual case of headache: joining the dots in the emergency room. Indian J Emerg Med. 2024;10(1):7-10.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| October 31, 2023 | November 30, 2023 | March 30, 2024 |
DOI: https://doi.org/10.21088/ijem.2395.311X.10124.1
Keywords
HeadacheCerebral Venous Sinus ThrombosisNorethisterone acetateEnoxaparinRivaroxabanSearch for Similar Articles
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Timeline
| Received | October 31, 2023 |
| Accepted | November 30, 2023 |
| Published | March 30, 2024 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
