“…Due to the extensive use of antibiotics, the incidence of sigmoid sinus thrombophlebitis has been on the rise in recent years, and symptoms which were considered typical of the disease, such as ''picket fence'' fever, headache, dizziness, nausea, vomiting, neck stiffness, erythema, and altered mental status, with otorrhea, retroauricular edema, and pressing pain (Griesinger sign), [4][5][6][7][8] are no longer typical. The patient did not have typical symptoms of ''picket fence'' fever after admission, owing to his treatment with antibiotics before admission.…”