Treatment of cerebral venous sinus thrombosis with subdural
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A 58-years-old male presented with a severe headache and giddiness for 3 days without vomiting, convulsions, or unconsciousness. Central nervous system examination-conscious, disoriented, restless, moving all four limbs with normal pupils, and a bilateral presence of Babinski reflex. Rest of the examination was normal. His magnetic resonance imaging revealed superior sagittal sinus thrombosis with bilateral parietal hemorrhagic infarcts with peripheral edema formation, mild subarachnoid haemorrhage (SAH) in the left parieto-occipital region, and subdural hematoma (SDH) along the right frontoparietal convexity of the skull without midline shift. He was treated with mannitol, low-molecular-weight heparin (and later oral anticoagulants), and proton pump inhibitors. Uncomplicated course in hospital and improved after 15 days without any residual neurodeficit...

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