Sinus vein thrombosis requiring cranial decompression after oral contraceptive use in an adolescent girl

Although sinus vein thrombosis is rare in childhood, drugs play an important role in the etiology. Sinus vein thrombosis should be excluded with urgent imaging in the presence of headache, weakness, and papilledema lasting longer than 1 week, especially in adolescent girls who require hormonal medication due to oligomenorrhoea. If thrombosis is detected in these cases, urgent surgical intervention will be a life-saving approach if the thrombosis and infarct area in the brain are widespread and lead to herniation. We discussed the recovery of a 17-year-old obese girl after the use of oral contraceptives due to menstrual irregularity, the place of surgical approach in the treatment of thrombosis, and the recovery of shifting and herniation due to diffuse sinus vein thrombosis after emergency decompressive surgery. Consent was obtained from the patient’s parents beforehand.