A 50-year-old woman suffered a cerebral infarction. She had quit smoking in 10 years. She has a history of scintillating scotoma without migraine. She had been taking oral contraceptives for dysmenorrhea for the past 6 years.
While it is well known that migraine with aura increases the risk of cerebral infarction, does scintillating scotoma alone constitute a risk factor?
The stroke was diagnosed as related to oral contraceptive use. After consulting with the gynecology department, the oral contraceptive was discontinued.
For stroke diagnosis, questioning about medications taken is essential, and for women, it is crucial to ask about menstruation, even though it may be difficult to inquire about.
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