Bilateral decompressive craniectomy as a life-saving procedure for a patient with recurrent cerebral venous thrombosis with good functional recovery

Cerebral venous sinus thrombosis (CVT) is a potentially curable cause of stroke in young. Though primary pathology is related to tissue damage resulting from the obliteration of venous outflow from functioning brain tissue, secondary damage resulting from mass effect and midline shift is a life-threatening complication wherein Decompressive craniectomy (DC) can be lifesaving. We aim to highlight the indication, appropriate timing and outcome of DC in CVT. Our patient, a middle-aged woman, had recurrent CVT, after an interval of three years, the only cause evident was anaemia secondary to abnormal uterine bleeding (AUB). She needed combined neurological and neurosurgical care during both the episodes and she recovered significantly even after having bilateral lesions and after undergoing decompressive craniectomy twice on separate occasions which is first of its kind in the literature to our knowledge.