Cerebral dural sinus thrombosis associated with adenomyosis: a case report
Case report
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⤵ 9 in-corpus citations
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This case report describes a patient who developed cerebral dural sinus thrombosis, a condition of blood clots in the brain's venous sinuses, in association with adenomyosis, a benign uterine condition.
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Abstract
We report a case of cerebral venous thrombosis (CVT) associated with a giant adenomyosis. At admission, the patient demonstrated generalized seizures and consciousness disturbance. Brain fluid-attenuated inversion recovery magnetic resonance imaging revealed a localized, high-intensity region in the left frontal lobe. Subsequent brain angiography showed that right internal carotid angiograms display abrupt termination of the anterior half of the superior sagittal sinus and a filling defect in the lateral part of the left transverse sinus. The patient complicated with iron deficiency anemia (IDA) and adenomyosis with higher levels of serum carbohydrate antigen 125 (CA125) and d-dimer. After 1 year from onset, intermittent severe menalgia and headache persisted, and blood examination revealed abnormal values; the patient was receiving oral medications. Finally, adenomyosis resection was performed with a favorable outcome, and no recurrence was observed during the 2-year follow-up period. We conclude that IDA and increased CA125 levels may have promoted hypercoagulability and CVT. This report emphasizes the possible relationship between CVT and adenomyosis.
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References (8)
- Cerebral infarction developing in a patient without cancer with a markedly elevated level of mucinous tumor marker via openalex
- Cerebral infarcts associated with adenomyosis among middle-aged women via openalex
- W2053169082 via openalex
- W2076026274 via openalex
- W2079810642 via openalex
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Cited by (10)
- Cerebral Venous Sinus Thrombosis Occurring During Estetrol/Drospirenone Combined Oral Contraceptive Use in a Woman With Multiple Thrombotic Risk Factors: A Case Report 2026
- Is Adenomyosis Associated with Systemic Vascular Complications? 2025
- Cerebral infarction associated with adenomyosis: Two case reports with mechanistic insights and multidisciplinary management 2025
- Adenomyosis with abnormal uterine bleeding complicated by venous thrombosis: a case series and literature review 2025
- Recurrent embolic stroke associated with adenomyosis: A single case report and literature review 2023
- Successful management of cerebral venous sinus thrombosis due to adenomyosis: Case reports and literature review 2023
- Cerebral venous thrombosis in a patient with adenomyosis: A case report 2022
- "Recurrent multiple cerebral infarctions related to the progression of adenomyosis: a case report" 2018
- Low-dose gonadotropin-releasing hormone agonist therapy (draw-back therapy) for successful long-term management of adenomyosis associated with cerebral venous and sinus thrombosis from low-dose oral contraceptive use 2017
- A Case of Thromboembolism After Injection of Gonadotropin-releasing Hormone Agonist 2016
Source provenance
- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:13:34.636433+00:00
- unpaywall
- last seen: 2026-10-15T06:24:24.424788+00:00
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