eMedicine Specialties > Emergency Medicine > Neurology
Cavernous Sinus Thrombosis: Follow-up
Updated: Jul 18, 2008
Follow-up
Further Inpatient Care
- Admission to intensive care unit is indicated.
Deterrence/Prevention
- Patients should be educated that furuncles or abscesses (pimples) in the central portion of the face should not be manipulated without prior antibiotic coverage.
Complications
- Meningitis
- Septic emboli
- Blindness
- Cranial nerve palsies
- Sepsis and shock
Prognosis
- Mortality rate is as high as 30%; the majority of survivors suffer permanent sequelae.
Miscellaneous
Medicolegal Pitfalls
- Failure to consider CST in the differential diagnosis of sinusitis, facial, or periorbital cellulitis
More on Cavernous Sinus Thrombosis |
| Overview: Cavernous Sinus Thrombosis |
| Differential Diagnoses & Workup: Cavernous Sinus Thrombosis |
| Treatment & Medication: Cavernous Sinus Thrombosis |
Follow-up: Cavernous Sinus Thrombosis |
| Multimedia: Cavernous Sinus Thrombosis |
| References |
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References
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Canhao P, Ferro JM, Lindgren AG. Causes and predictors of death in cerebral venous thrombosis. Stroke. Aug 2005;36(8):1720-5. [Medline].
Cannon ML, Antonio BL, McCloskey JJ, et al. Cavernous sinus thrombosis complicating sinusitis. Pediatr Crit Care Med. Jan 2004;5(1):86-8. [Medline].
DiNubile MJ. Septic thrombosis of the cavernous sinuses. Arch Neurol. May 1988;45(5):567-72. [Medline].
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Lessner A, Stern GA. Preseptal and orbital cellulitis. Infect Dis Clin North Am. Dec 1992;6(4):933-52. [Medline].
Levine SR, Twyman RE, Gilman S. The role of anticoagulation in cavernous sinus thrombosis. Neurology. Apr 1988;38(4):517-22. [Medline].
Peters KS. Secondary headache and head pain emergencies. Prim Care. Jun 2004;31(2):381-93, vii. [Medline].
Schnipper D, Spiegel JH. Management of intracranial complications of sinus surgery. Otolaryngol Clin North Am. Apr 2004;37(2):453-72, ix. [Medline].
Southwick FS, Richardson EP, Swartz MN. Septic thrombosis of the dural venous sinuses. Medicine (Baltimore). Mar 1986;65(2):82-106. [Medline].
Watkins LM, Pasternack MS, Banks M. Bilateral cavernous sinus thromboses and intraorbital abscesses secondary to Streptococcus milleri. Ophthalmology. Mar 2003;110(3):569-74. [Medline].
Yanofsky NN. The acute painful eye. Emerg Med Clin North Am. Feb 1988;6(1):21-42. [Medline].
Zimmer J, Bhatt J, et al. Is it all in his head?. The Internet Journal of Pediatrics and Neonatology. 2006;6.
Further Reading
Keywords
cavernous sinus thrombosis, CST, thrombosis of the cavernous intracranial sinus, cavernous sinus syndrome, cavernous sinus, cavernous sinuses, parasellar lesions, tumors, carotid artery aneurysms, carotid-cavernous fistulas, C-C fistulas, cavernous sinus thrombosis
Follow-up: Cavernous Sinus Thrombosis