RESUMO
I have been licensed as a physician in Sweden for more than 50 years, working for most of this time at the Royal University of Lund, the Royal University of Gothenburg and the Royal University of Uppsala. My experience has been mostly as Professor of Medicine, but I have also had considerable experience in Anatomy, the most important preclinical subject. My researches have resulted in more than 300 articles and books.
RESUMO
If vertebral artery occlusion occurs in degenerative arterial disease it is almost invariably left-sided, but in vertebral artery deficiency syndromes associated with oral contraceptives a striking preponderance of right-sided involvement has been shown. This observation adds support to the view that causes other than changes in the wall of the vessel at the site of occlusion must be sought as an explanation of the occlusion.
Assuntos
Arteriopatias Oclusivas/induzido quimicamente , Anticoncepcionais Orais/efeitos adversos , Artéria Vertebral , Fatores Etários , Lateralidade Funcional , Humanos , Fatores SexuaisRESUMO
PIP: In Sweden, 18 cases of stroke related to oral contraceptive use were studied. 1 case had subarachnoid hemorrhage from an aneurysm of the right carotid artery and 17 cases had thromboses, occluding cerebral arteries. There were 7 deaths reported and most of the other cases resulted in severe invalidity. Vascular lesions in the vertebro-basilar segment of the circle of Willis occurred frequently. It was shown that vascular lesions of the brain or venous thrombosis may reoccur if oral contraceptive use is resumed. After cessation of oral contraceptives, the effects of the pill may last between 2 weeks and 4 monts. Migraines seem to be precipitated or intensified with oral contraceptive use. Even if there is a family history of migraines a patient is likely to get thrombosis of the cerebral arteries from the pill.^ieng
