Case presentation A 63-year-old female presented with a sudden onset of headache, global aphasia, right hemiparesis, and confusion. History No history of recent trauma, coagulation abnormality, hormonal substitution, autoimmune disease, and gastrointestinal surgery Significant family history: None Medication: Paracetamol (if required) Examination CT and CT venogram revealed (Figures A, B, and C): Left lateral temporal lobe venous infarction Thrombosis and hemorrhage of the left transverse sinus, jugular bulb, sigmoid sinus, and left vein of Labbe Investigation Tests                    Admission         Discharge          Normal range Hb                                6.1                  13.5                    12.5-16.5 MCV                            58                    76.1                    80-100 HCT                             0.227              0.439                  0.37-0.47…