Background: Cerebral sinus venous thrombosis (CSVT) is a rare form of stroke, which mostly affects the younger age group.
Case Presentation: A 67-year-old female was presented. The patient was alert, conscious, and oriented during the examination. Her Bp was 156/95 with tachycardia. Computed tomography (CT) brain and CT angiogram were done, which showed a near occluded right internal carotid artery and suspicion of dural venous sinus thrombosis, which involved the left transverse sigmoid and internal jugular vein. Magnetic resonance venography image revealed the loss of regular flow-related enhancement of the left transverse sinus, the left sigmoid, and the proximal left internal jugular vein that demonstrated abnormally high signal intensity on Fluidattenuated inversion recovery images, dural venous sinus thrombosis, and less likely hypoplastic. CT chest, abdomen, and pelvis were done to rule out any possibility of hidden malignancy. Neck ultrasound revealed a heterogeneously multiple nodular thyroid goiter, and three bilateral thyroid nodules. During admission, high blood sugar and dyslipidemia were treated, and low dose aspirin for secondary stroke prevention was given for thyroid mass.
Conclusion: The patient presented with normal thyroid function test, whereas the cause of CSVT was mechanically compressed by multinodular goiter.
Key words: Cerebral sinus, venous thrombosis, stroke
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