Cerebral venous sinus thrombosis (CVST), manifesting as a spontaneous subdural hematoma (SDH), is a challenging condition that can remain unrecognized due to differences in clinical presentation. Also, the management of such cases is not well established. This case presents a patient with Down’s syndrome who was diagnosed with CVST after a spontaneous subdural SDH. A 23-year-old female, who was a known case of Down’s syndrome, was presented to the emergency department with a complaint of severe headache accompanied by nausea, vomiting, and confusion for three days.
Medical history The patient had no history of seizures, trauma, vision change, loss of consciousness, or relevant signs and symptoms of virus infection. She was also not prescribed any regular medications. There was no family or past medical history of coagulopathies. Medical examination Glasgow coma score: 14; Vital signs:…
