Hemiplegic migraine associated with etonogestrel 68 mg implant insertion case report

Contraception. 2024 Dec 14:110783. doi: 10.1016/j.contraception.2024.110783. Online ahead of print.

Abstract

We present a case of suspected induced intractable headaches and paralysis after receiving an etonogestrel 68 mg implant. After extensive neurological evaluation, the etonogestrel implant was removed and neurological symptoms resolved. The case raises concerns about a potential rare risk of progestin-containing contraceptives in patients with migraines with aura warranting further investigation.

Keywords: Contraceptive implant; Etonogestrel; Migraine; Paralysis.

Publication types

  • Case Reports