Cerebral sinus venous thrombosis (CSVT) is a rare form of venous thromboembolism. CSVT represents almost 0.5–3% of all types of strokes, affecting predominantly younger people. Neuromelioidosis presenting as CSVT is a rare entity and requires a high index of suspicion, combined neurological, neurosurgical, neurointensive care, and infectious disease (ID) inputs along with appropriate and prompt antibiotic cover for improved outcomes. The role of decompressive craniectomy, antibiotic therapy, and duration have been discussed in brief.
A rare case of neuromelioidosis presenting as CSVT requiring emergency decompressive craniectomy and prolonged neurointensive care with rehabilitative therapy has been discussed.
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