A 30 years old male patient presented with sudden onset left side hemiparesis with fits and unconciousness. His CT Scan and MRI brain revealed cortical venous thrombosis, sub-arachanoid hemorrhage at vertex and hemorrhagic infarction left frontoparietal region. Lupus anticoagulant (LA) activity was detected alongwith prolonged PTT and thrombocytopenia. Anticardiolipid, ANA, Anti-dsDNA, ANCA were negative.