Facial pain associated with vein of Trolard thrombosis Case report Neurology

BMJ Case Rep. 2023 Nov 16;16(11):e256545. doi: 10.1136/bcr-2023-256545.

Abstract

Cerebral venous thrombosis is a rare condition, with identified and described risk factors mainly associated with prothrombotic states, with a wide variety of symptomatology based on the site affected, the most common being intracranial hypertensive syndrome, focal or encephalopathy. Cortical veins of the superficial system are among the least frequently affected veins. The following describes a case of painful facial symptoms progressing to a focal syndrome associated with a history of chronic oral contraceptive use, with thrombosis of vein of Trolard detected and successfully treated with oral anticoagulants.

Keywords: Headache (including migraines); Neuroimaging; Stroke.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Veins*
  • Facial Pain / drug therapy
  • Facial Pain / etiology
  • Humans
  • Intracranial Thrombosis*
  • Risk Factors
  • Thrombosis*