| Summary: | Cerebral venous sinus thrombosis (CVT) is an uncommon subtype of stroke. In general, patients with CVT have one or more risk factors for venous thrombosis. Malignancy is an established risk factor for venous thromboembolism, and is seen in 8.9% of the patients. However, the occurrence of CVT in the case of solid organ malignancy is a rare phenomenon. Cervical cancer is a malignancy that has rarely been associated with CVT, with only one case reported in the literature, and in that also diagnosis of CVT was incidental. We present a case of a young lady with recently diagnosed locally advanced cervical cancer who presented with headache, monoparesis, and focal onset motor seizures with preserved awareness. The initial neuroimaging showed intracerebral hemorrhage. However, subsequently, she was diagnosed with CVT with hemorrhagic infarction, which was initially masqueraded as a tumor bleed.
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