Woman with left-side weakness

Most acute intracranial hemorrhages present to the emergency department are due to severe hypertension, coagulopathies, aneurysm, or tumor. We describe a 41-year-old female presented with progressive left-side weakness for 6 h. Initial computed tomography of the brain showed acute hemorrhage at right temporo-parietal region. Subsequent brain magnetic resonance imaging confirmed right cerebral cortical venous thrombosis complicated by acute intraparenchymal hematoma. This report provides a rare etiology of acute intracranial hemorrhage in which early diagnosis and prompt anticoagulation are crucial for patient well-being.