Cerebral venous sinus thrombosis presenting as subdural haematoma

Abstract

The authors report a 39‐year‐old woman who presented with intermittent, excruciating nuchal and occipital headache. Magnetic resonance imaging and magnetic resonance angiography scans showed bilateral subdural haematomas with veno‐occlusive disease of the superficial and deep venous systems. There were bridging collaterals with scalp veins, bleeds from which could explain the subdural haematoma. There was acute on chronic veno‐occlusive disease with an acute rise in intracranial pressure and a bleed from the vein of Galen.