Abstract
This letter reports the case of a 41-year-old woman who had taken 4 tablets daily of 5-mg norethynodrel (Enavid) for menstrual pain over a 3-month period; she was admitted to an English hospital because of difficulty in finding words and headache. General examination showed that x-rays blood count and heart and lung sounds were normal; she had a nominal aphasia dysgraphia and dyslexia and there was some right-left disorientation and finger agnosia. The diagnosis was left parietal lesion probably due to cortical venous thrombosis. Enavid was stopped and the dysmenorrhoea returned. She improved considerably in terms of speech writing and reading but considerable residual disability remained and some may be permanent.
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