Cerebral sinus venous thrombosis (CSVT) is a rare case of stroke. The prevalence of CSVT in women is three times higher than in men, with the most frequent complaint being headache with a migraine-like pattern accompanied by accompanying complaints resembling stroke. Management for CSVT in the acute phase is anti-coagulants, either Unfractionated Heparin (UFH) with adjusted doses or Low Molecular Weight Heparin (LMWH), with mortality depending on the location of thrombosis and neurological status. 
Case: In the case of a 25 years old man with the main complaint of headache that felt throbbing throughout the area of the head for 1 day ago which got worse and worsened with activity or coughing. Patients also complain of double vision which improves when one eye is closed. Neurological examination revealed left ocular papilledema, bidirectional horizontal nystagmus, binocular diplopia. Computed Tomography Venography (CTV) revealed an empty delta sign, thrombosis in the sigmoid sinus Dextra, distal internal jugular vein Dextra, transverse sinus Dextra, superior sagittal sinus. The patient received UFH for 5 days and the patient's condition improved. Next, the patient was planned for DSA