A Short and Intermittent Course of Oral Contraceptive Pills and Risk of Cerebral Venous Thrombosis

Cerebral venous sinus thrombosis is a rare disorder of cerebral vasculature. It can be presented by various clinical pictures depending on the site and extent of the thrombus. The risk factors are inherited or acquired. We describe a patient who used intermittent and short courses of oral contraceptive pills to postpone her periods to be able to fast for the holy month of Ramadan. She presented with status epilepticus. Investigations revealed cortical sinus thrombosis extending to the major cerebral venous sinus. She received optimal treatment for her seizure and cerebral venous sinus thrombosis. She was discharged in excellent condition. Users and the general public should be constantly reminded that OCP should only be used when directed by a physician, and should not be as over the counter medications.