An 18-year-old woman presented with headache, right focal seizures, and diminished vision in the left eye for 20 days. Fundus revealed bilateral papilledema with large premacular sub-internal limiting membrane and subhyaloid bleed in the left eye (figure 1A). MRI brain showed hemorrhagic infarct in the left temporal lobe (figure 2A, B). Magnetic resonance venography showed left transverse and sigmoid sinus thrombosis (figure 2C). A diagnosis of Terson syndrome(1) was made. Procoagulant workup was negative. The patient improved on conservative management(2) (figure 1B). Even though Terson syndrome has been reported with subarachnoid hemorrhage, its occurrence with cortical venous sinus thrombosis is rare.