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© 2019 Tzu Chi Medical Journal | Published by Wolters Kluwer Medknow However, it is not always available in the emergency department. CT venography showing a filling defect in cerebral sinus or vein can be a faster way of detecting CVST [1,2]. The principal treatment of CVST is anticoagulation and correction of underlying prothrombotic states. Surgical intervention, such as endovascular therapy or decompressive hemicraniectomy may be needed if neurologic deterioration [1,2]. A careful history taking, correct image reading, and highly suspicion in young-aged patients with unusual headache, stroke-like symptoms and without the usual vascular risk factors are the key to diagnosis this disease.

Seizure and left side weakness in a young female: Cerebral venous sinus thrombosis