# A Cerebral Hemorrhage Revealing a Cerebral Venous Thrombosis

## TL;DR

A 31-year-old woman with cerebral venous thrombosis presented with a cerebral hemorrhage and was successfully treated with anticoagulation.

## Contribution

The paper presents a rare case of CVT with intracerebral hemorrhage and successful anticoagulation treatment.

## Key findings

- CVT can present with intracerebral hemorrhage in young women.
- Anticoagulation with LMWH was safely and effectively used in this case.
- The case supports diagnostic vigilance and guideline-based treatment despite hemorrhage.

## Abstract

Cerebral venous thrombosis (CVT) is a rare neurovascular disorder that primarily affects young women, largely due to hormonal risk factors such as oral contraceptive use and pregnancy. We report the case of a 31-year-old woman in whom CVT presented with an intracerebral hemorrhage. Therapeutic anticoagulation with low-molecular-weight heparin (LMWH) was initiated without complications, resulting in a favorable clinical outcome. This report highlights the importance of maintaining a high index of diagnostic suspicion for CVT in young patients with risk factors and reinforces the counterintuitive but guideline-supported principle of anticoagulation even in the presence of intracerebral hemorrhage. The diagnosis was confirmed by contrast-enhanced CT. This report adds novelty by demonstrating successful management in this context and provides a concise educational example for clinicians.