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Facial pain associated with vein of Trolard thrombosis Case report Neurology
  1. Katia Mabiael Moreno-Cortez1,2,
  2. Manir Chujfi-Zamora1,2,
  3. Jorge Guillermo Reyes-Vaca2,3 and
  4. Ildefonso Rodriguez-Leyva1,2
  1. 1Neurology, Hospital Central Dr Ignacio Morones Prieto, San Luis Potosi, Mexico
  2. 2Neurology Service, Facultad de Medicina, Universidad Autonoma de San Luis Potosi, San Luis Potosi, Mexico
  3. 3Radiology and Image, Hospital Central Dr Ignacio Morones Prieto, San Luis Potosi, Mexico
  1. Correspondence to Dr Ildefonso Rodriguez-Leyva; ildefonso{at}


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.

  • Headache (including migraines)
  • Neuroimaging
  • Stroke

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  • Contributors KMM-C and MC-Z wrote the paper and reviewed the bibliography and the patient. JGR-V scanned the images and made observations about the affection. IR-L was responsible for the patient; he started the study and established the treatment.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.