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Dulaglutide-induced cerebral venous thrombosis in a patient with type 2 diabetes mellitus.

BMJ Case Rep · 2018

Last updated 2026-05-28

A patient with type 2 diabetes taking dulaglutide for 3 weeks developed severe nausea and vomiting, leading to dehydration. This was linked to a rare case of cerebral venous thrombosis—a blood clot in the brain’s venous system—along with a stroke-like area in the brain. Doctors ruled out other causes before attributing the clot to the drug’s side effects.

AI summary of the abstract below.

JournalBMJ Case Rep, 2018
Citations5
Relative citation ratio0.26
NIH percentile16
Molecules dulaglutide
Conditions studied Type 2 Diabetes

Abstract

Though patients with diabetes mellitus are at a high risk of atherothrombotic events, every such event should not be attributed to the disease itself. We present a case of a patient with diabetes with headache and blurring of vision for 3 days. Brain imaging revealed right transverse sinus thrombosis and acute infarct of the right posterior parieto-occipital region, predominantly in the posterior cortical watershed zone. The patient was on subcutaneous dulaglutide for 3 weeks and was having nausea and vomiting. Various causes of cerebral venous thrombosis were ruled out with appropriate laboratory investigations. Finally, cerebral venous thrombosis was attributed to dulaglutide-induced nausea and vomiting which led to severe dehydration.

Verbatim abstract via PubMed 30413453 ↗

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