Cerebral venous thrombosis (CVT) is a potentially life-threatening disease. Focal or generalized seizures are seen in 12-15% of the patients as the first presenting symptom of CVT.A previously healthy -36-year-old woman admitted with a history which was described as ‘she was rotating around her axis’. On examination, in the emergency service of our hospital the patient was fully alert and any neurologic abnormality was not detected. Her magnetic resonance-imaging (MRI) revealed a thrombosis in the left transverse sinus and a venous infarct in the left inferior temporal gyrus. We conclude that the case is atypical in terms of seizure semiology and for the reason that this type of seizure occurred as the first and the only symptom of CVT.
Keywords: Sinus thrombosis, intracranial, gyratory seizures