Cerebral venous sinus thrombosis with parieto-temporal infarct in a young woman

A 34-year-old woman presented with confusion and dysphasia, preceded by 5 days of vomiting. Her only medical history was chronic iron-deficiency anaemia secondary to menorrhagia, for which she was taking oral iron supplements. Three weeks earlier, she had started taking rigevidon, an oral contraceptive pill, for menorrhagia. Neurological examination revealed only a severe receptive dysphasia. CT of the head demonstrated a large thrombus within the confluence of sinuses, extending into the left transverse and sigmoid …