A case of primary cerebral thrombophlebitis is described in a young man, who had a thrombotic diathesis. The patient initially presented with a right phlegmasia alba dolens which was treated with anticoagulants, surgery and thrombolytic therapy. Over 2 years later he developed a further phlegmasia and what was clinically thought to be a meningitis. Despite anti-coagulation he died from a progressive cerebral venous thrombosis.
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