Cerebral Venous Thrombosis in a Young Male Patient With HIV AIDS

Dural venous sinus thrombosis (DVST) is characterized by thrombosis in the cerebral veins, the dural venous sinus, or both. Headache is the most common initial symptom. Patients can present with seizures, papilledema, focal neurological deficits, and mental status alteration. We describe a case of a young HIV-positive patient with a seizure disorder who presented with unrelenting headaches and breakthrough seizures and was diagnosed with thrombosis in the superior sagittal sinus extending to the left transverse and sigmoid sinuses with venous thrombosis in the left vein of Trolard. This case is highly relevant, reminding clinicians to keep a high index of suspicion for DVST in any patient with headache and neurological manifestations.