Turkish Neurosurgery
2008 , Vol 18 , Num 1
Protein S Deficiency, Epileptic Seizures, Sagittal Sinus Thrombosis and Hemorrhagic Infarction after Ingestion of Dimenhydrinate
Ege University School of Medicine, Neurosurgery Department Izmir, Turkey
Congenital protein S deficiency is associated with an increased risk of venous
thrombosis. A14-year-old boy presented with epileptic seizures and thrombosis
of the superior sagittal sinus and frontal hemorrhagic venous infarction after
ingestion of 50 mg of dimenhydrinate, an antiemetic drug. The patient was
found to be heterozygous for the factor V Leiden mutation and had a functional
protein S deficiency. He recovered completely within a month after conservative
treatment. Dimenhydrinate may have disrupted a subclinical pre-existing
condition in this case.
Keywords :
Protein S deficiency, Sagittal sinus thrombosis, Venous hemorrhagic infarction, Dimenhydrinate