[ XXXX associated with the use of oral contraceptives].

@entity1 @entity172 @entity66 @entity101 @entity39 @entity16 @entity49 @entity1188 @entity1410 @entity50 @entity385
The entity of @entity66 associated with the use of oral contraceptives is well known but quite rare in Japan in contrast to Western countries. We recently encountered a 38 years old female with @entity49 considered to be caused by oral contraception. This @entity1 took oral contraceptives for 17 days following therapeutic abortion, and was transferred to our hospital because of disturbed consciousness. CT scans disclosed a right temporo-occipital subcortical @entity385 and bilateral @entity1188 . Cerebral angiograms showed non-filling of cortical veins in the same area. The internal cerebral vein, vein of Galen and right transverse sinus were not visualized either. The @entity1410 and @entity39 tissue were removed to avoid farther @entity16 . The brain was swollen and hyperemic, and thrombosed cortical veins were clearly recognized at operation. Twelve cases, including ours, of @entity66 associated with oral contraception were reported up to now in Japan, and only 3 of them were diagnosed objectively as @entity50 . The average age of these 12 cases was 34 years old and many of them experienced abortion or therapeutic abortion. There was no relationship between the dose of @entity172 and the onset of @entity66 . We believe that the onset of this pathological state is based on @entity49 state, and the oral contraception may play a role of a trigger. Oral contraception should be contraindicated in @entity1 with @entity49 state, @entity101 and/or smoking habit.
