Case Report: PDF OnlyCerebral Venous Thrombosis Initially Presenting with Acute Subarachnoid HemorrhageLin, Ji-Hoa, *; Kwan, Shang-Yeongb, c; Wu, Deand Author Information aDepartment of Neurology, Tao-Yuan General Hospital, Department of Health, Executive Yuan, Taiwan, R.O.C. bPediatric Epilepsy Surgery Group, Taipei Veterans General Hospital, Taiwan, R.O.C. cNational Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. dDepartment of Neurology, Min-Sheng General Hospital, Tao-Yuan, Taiwan, R.O.C. *Correspondence to: Dr. Ji-Ho Lin, Department of Neurology, Tao-Yuan General Hospital, Department of Health, Executive Yuan, 1492, Jhongshan Road, Tao-Yuan 330, Taiwan, R.O.C. E-mail: [email protected] Received: July 20, 2005; • Accepted: January 25, 2006. Journal of the Chinese Medical Association: June 2006 - Volume 69 - Issue 6 - p 282-285 doi: 10.1016/S1726-4901(09)70258-8 Metrics Abstract We report the case of a 44-year-old man with superior sagittal and transverse sinus thrombi, who initially presented with venous subarachnoid hemorrhage over the right parietal sulci. After 7 days of intravenous anticoagulation therapy, his condition stabilized. Cerebral venous thrombosis can be difficult to diagnose and is further complicated when patients initially present with acute subarachnoid hemorrhage. A high index of clinical suspicion is needed to diagnose venous subarachnoid hemorrhage so that appropriate treatment can be initiated as promptly as possible. © 2006 by Lippincott Williams & Wilkins, Inc.