Cavernous sinus thrombosis
2,084views
Cavernous sinus thrombosis
Pathology
Adverse effects of drugs on the nervous system
Cerebrovascular disease
Congenital disorders
Cranial and peripheral nerve disorders
Degenerative disorders or amnesic syndromes
Demyelinating disorders
Disorders relating to the spine, spinal cord, and spinal nerve roots
Global cerebral dysfunction
Infectious, immunologic, and inflammatory disorders
Metabolic disorders
Movement disorders
Neurologic pain syndromes
Neuromuscular disorders
Paroxysmal disorders
Sleep disorders
Traumatic and mechanical disorders and disorders of increased intracranial pressure
Disorders of the ear
Disorders of the eye and eyelid
Cataract
Glaucoma
Age-related macular degeneration
Color blindness
Diabetic retinopathy
Retinal detachment
Retinopathy of prematurity
Conjunctivitis
Corneal ulcer
Hordeolum (stye)
Keratitis
Neonatal conjunctivitis
Orbital cellulitis
Periorbital cellulitis
Uveitis
Retinoblastoma
Bitemporal hemianopsia
Cortical blindness
Hemianopsia
Homonymous hemianopsia
Nervous system and special senses pathology review
Psychiatric emergencies: Pathology review
Cerebral vascular disease: Pathology review
Congenital neurological disorders: Pathology review
Neurocutaneous disorders: Pathology review
Dementia: Pathology review
Amnesia, dissociative disorders and delirium: Pathology review
Eye conditions: Inflammation, infections and trauma: Pathology review
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Eye conditions: Retinal disorders: Pathology review
Vertigo: Pathology review
Spinal cord disorders: Pathology review
Central nervous system infections: Pathology review
Demyelinating disorders: Pathology review
Peroxisomal disorders: Pathology review
Movement disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Neuromuscular junction disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Psychological sleep disorders: Pathology review
Traumatic brain injury: Pathology review
Assessments
Flashcards
0 / 9 complete
USMLE® Step 2 questions
0 / 1 complete
High Yield Notes
13 pages



Flashcards
Cavernous sinus thrombosis
0 of 9 complete
Questions
USMLE® Step 2 style questions USMLE
0 of 1 complete
A 41-year-old man comes to the office because of a 1-day history of fever, headache, and bilateral periorbital and mid-facial swelling. The day prior to the onset of the symptoms, the patient had attempted to burst a furuncle in the inner margin of his right nostril. His past medical history is noncontributory, and he does not take any medications. He had last traveled to India 4 months ago. Temperature is 38.1°C (100.5°F), pulse is 66/min, respirations are 12/min, and blood pressure is 124/72 mmHg. Physical examination shows marked facial and periorbital swelling with bilateral blepharoptosis, chemosis, and proptosis. On fundoscopy, there is no evidence of optic disc swelling. The patient has a full range of eye movements but complains of pain with eye movement. A high-resolution orbital CT with contrast demonstrates bilateral septic cavernous sinus thrombosis. Occlusion of which of the following veins is the most likely underlying cause of this patient’s condition?
Summary
A cavernous sinus thrombosis is a rare, life-threatening condition that occurs when a blood clot blocks the cavernous sinus, which is one of the veins that drain blood from your head and brain. It is usually caused by a bacterial infection that has spread from the sinuses, ear, or nose. Symptoms may include headache, eye pain and swelling, red eye, fever, nausea, vomiting, and loss of balance. A cavernous sinus thrombosis can lead to permanent vision loss, coma, or death if left untreated.