Abstract

Background: Cerebral venous sinus thrombosis is characterized by obstruction of the venous system due to thrombus formation in the dural venous sinuses. This condition can lead to serious complications, including intracranial hypertension, venous infarction, and hemorrhage. Clinical presentations can vary significantly among individuals, often manifesting as headaches, seizures, or neurological deficits.
Case presentation: A 28-year-old female presented to the emergency department for the first time with general fatigue lasting two days, accompanied by a normal neurological examination. She returned four days later with right upper limb weakness, pain rated 8 out of 10, mild headache, and subtle neurological deficits.
Result: Upon further evaluation using computed tomography and magnetic resonance venography, a diagnosis of cerebral venous sinus thrombosis was confirmed, with the additional complication of intracranial hemorrhage identified. The patient was managed appropriately, resulting in complete resolution of symptoms within two weeks.
Conclusion: This case highlights the necessity for a high index of suspicion for CVST in females presenting with subtle neurological symptoms. Early diagnosis and intervention are crucial in enhancing treatment outcomes and facilitating the restoration of full functional capacity.

Key words: Case report, cerebral venous sinus thrombosis, anti-coagulation, thrombosis, brain, emergency, neurology.