creat 20 slides presentation contain Cerebral venous thrombosis topic teaching as registrar level, supported by recent clinical trials, and discuss this case: Male 31y fit and well , Smoker, Hx of Migraine, 3 months recurrent headaches on pain killers​ 1 month sever headache .. CT brain: free ​ 2 days: sever vomiting, RSW, mild dysarthria​ MRI, MRV: transverse and segmoid VST​ 5 days: Therapeutic anticoagulant, anti emetics​ Discharged on anticoagulants DOAK​ PT – walk supported by 1 person ​ 2 days after: sever bulbar, Rt dense hemiplegia, sever dysarthria, nystagmus,​ MRI, MRV: sever congestion I will attach the brain imaging later