[8,11] In general, patients with straight sinus thrombosis present with acute headache, nausea, vomiting, seizures, altered mental status, focal neurologic deficits, coma, and/or death because of venous infarction of the bilateral thalami and basal ganglia.[6] Typical MRI findings are high signal intensity and swelling of the bilateral thalami, internal capsules, and basal ganglia on T2WI and FLAIR.