Multifocal Intracerebral Hemorrhages: A Rare Presentation in a Patient of Cerebral Venous Sinus Thrombosis

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare cerebrovascular disease, accounting for 1% of all strokes occurring
when a blood clot forms in any of the venous sinuses of the brain. CVST commonly presents as severe headache, seizures,
focal neurological deficit, nausea and vomiting. Presentation of CVST in the form of multifocal intracerebral hemorrhage
(ICH) is an extremely rare occurrence. We report a case of a 29-year-old male presenting with multifocal ICH and seizures
with underlying CVST. The finding of multifocal ICH was incidentally found on brain radio imaging and further workup
revealed underlying CVST. This case report underscores the importance of brain radio imaging in an otherwise normal
patient presenting with seizure disorder. CVST as an etiology for multifocal ICH is a very rare yet significant phenomenon.