Right Transverse Venous Sinus Thrombosis Concomitant to an Occipital Basal Meningioma

We refer the case of an Albanian female patient aged 50 years, which presented to the emergency department of with confusional state, profound headache, vomiting unrelated to meals, unstable gait and general malaise. The attending physician denoted a cerebellar syndrome and a slight papillary stasis, making the clinical diagnosis compatible with an event causing increased intracranial pressure. A CT scan performed detected a basal occipital meningioma, partially calcified, at the level of sagittal sinus confluent to the right transverse sinus. The latter was completely hyperdense in the respective images, suggesting a thrombotic occurrence that would explain the acuity of the situation. The patient was treated conservatively for one week with symptoms receding substantially, thereafter referred to a neurosurgical facility.