A Neurological Complication of a Uterine Fibroid.
Summary of "A Neurological Complication of a Uterine Fibroid."
BACKGROUND:
Uterine leiomyoma (or fibroid) can be associated with secondary polycythemia and venous thrombosis, but there has been no report of intracranial venous thrombosis associated with leiomyoma.
METHODS:
We describe a case report of a cerebral venous thrombosis associated with erythrocytosis and a uterine fibroid in a non-smoking female with no history of malignancy or hormone use. The hemoglobin and erythropoietin normalized after removal of her uterine fibroid.
RESULTS:
MRI/MRV of this 60-year-old cephalalgic female revealed extensive thrombus throughout the sagittal sinus and right transverse sinus. CT of the abdomen revealed a 16 × 13 × 12 cm solid mass arising for the uterus consistent with a uterine fibroid. PET scan was negative for malignancy. Hemoglobin on admission was 18.4 g/dl. Erythropoietin was 16.6 mIU/ml. One month after hysterectomy, her hemoglobin was 12.6 g/dl and her erythropoietin was 4.7 mIU/ml.
CONCLUSIONS:
Cerebral vein thrombosis is a potential complication of uterine fibroids with erythrocytosis.
Affiliation
Department of Neurology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.
Journal Details
This article was published in the following journal.
Name: Neurocritical care
ISSN: 1556-0961
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22045247
- DOI: http://dx.doi.org/10.1007/s12028-011-9646-0
Medical and Biotech [MESH] Definitions
Uterine Balloon Tamponade
Inflation of a balloon catheter within the uterine cavity to control UTERINE HEMORRHAGE.
Mirizzi Syndrome
Complication of CHOLELITHIASIS characterized by OBSTRUCTIVE JAUNDICE; abdominal pain, and fever.
Uterine Monitoring
Measurement or recording of contraction activity of the uterine muscle. It is used to determine progress of LABOR, OBSTETRIC and assess status of pregnancy. It is also used in conjunction with FETAL MONITORING to determine fetal response to stress of maternal uterine contractions.
Uterine Cervical Diseases
Pathological processes of the UTERINE CERVIX.
Uterine Cervical Neoplasms
Tumors or cancer of the UTERINE CERVIX.
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