A previously healthy patient presented to the emergency department complaining of headaches and dysarthria. A CT scan was done and showed no significant abnormality. A laboratory workup showed an incidental positive PCR for COVID-19 infection.

On day 2 of admission, a follow-up brain MRI/MRV was performed. It showed bilateral thalamic venous infarction caused by the extensive venous thrombus involving the straight and right transverse sinuses.