Cerebral venous thrombosis (CVT), also known as a venous stroke, is relatively rare, more common in young people, and about 3/4 of patients are women. This disease may contribute to focal brain damage.

The paper presents a case of a young man after a fall from a height with associated polytrauma (including basilar skull fracture), in which on the basis of magnetic resonance imaging transverse and sigmoid sinus thrombosis of the right side was diagnosed. Despite long-term anticoagulation, complete regression of thrombotic lesions has not been achieved.

The clinical course of the described case raises a number of doubts about how to proceed in this group of patients, especially in the case of possible complications. Because so far clear standards of behavior therapy in venous thrombosis and cerebral sinus have not been established, it is still an important diagnostic and therapeutic problem.