Pediatric cerebral venous sinus thrombosis (PDST) is seen frequently after ear problems, coagulation disorders, and acute gastroenteritis with dehydration. Etiology is uncommon after head injury and poses great challenge to manage it. Till today there is no proper guidelines to follow for such cases. We present a case of a 1-year-old girl with posttraumatic DST who was managed safely with anti-coagulation therapy (ACT), and had resolution of her signs and symptoms with radiological improvement within 5 days after ACT. This therapy can be used safely for PDST, and may reduce complications further along with hospital stay and expenses.

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