Tuberculosis of skull is a rare disease, but its incidence is on rise in developing countries. Skull tuberculosis can have varied neurological presentations. Seizures are uncommon mode of presentation in these patients. We report a patient who presented with seizures and scalp swelling, which was found to be due to skull tuberculosis. Though uncommon, our patient indicates that any patient from tuberculosis endemic zone with skull swellings and neurological symptoms should be suspected and investigated for tuberculosis.

Cerebral venous thrombosis (CVT) is a rare clinical entity, with clinical presentations extending from headache and seizures to coma and death. For adults developing progressive neurological worsening despite adequate medical management, endovascular thrombolysis and/or mechanical thrombectomy may be considered as treatment options. We present one such patient with CVT who developed seizures and slipped into a coma, despite best medical management. A large-bore aspiration catheter was used as a standalone system for the endovascular procedure. The venous sinuses were successfully re-canalized. The patient was discharged a week later with a modified Rankin scale of 2. Studies show that endovascular thrombolysis used alone or in conjunction with thrombectomy for CVT has a higher risk of hemorrhagic complications. If we were to use mechanical thrombectomy devices (that are specifically designed for intracranial clot retrieval) as a stand-alone system, we would probably have better clinical outcomes with a lower risk of hemorrhagic complications.