Findings are consistent with cerebral venous thrombosis with early evolving hemorrhagic venous infarct.

The findings were also confirmed with MRI (not shown here) which showed hypointensity in the expanded venous sinuses (acute thrombosis) with no flow on MRV. Also there was diffusion restriction in the right parasagittal frontal region which also had areas of blooming on GRE sequence.

Patient responded well to anti-coagulant therapy.

Excessive alcohol intake may lead to a state of dehydration and may result in CVT ¹.