Brain parenchyma herniation into dural venous sinus which is a uncommon entity, can cause dural venous sinus filling and simulate sinus thrombosis and other pathologies. It is isointense to brain parenchyma on all sequences by magnetic resonance imaging, surrounded by a cerebrospinal fluid rim and is seen to be contiguous with brain tissue on images. We report a rare case with spontaneous occult herniation of temporal lobe tissue into the left transverse sinus that may associated with headache.
