Cavernous sinus thrombosis history and symptoms: Difference between revisions
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* Presentation may be acute (<48h) in a third, subacute (48h – 30 days) in a third, or chronic (>30 days) in a third. | * Presentation may be acute (<48h) in a third, subacute (48h – 30 days) in a third, or chronic (>30 days) in a third. | ||
* Patterns | * Patterns | ||
*:* | *:* Isolated intracranial hypertension: | ||
*:*:* HA (headache) | *:*:* HA (headache) | ||
*:*:* Papilledema | *:*:* Papilledema | ||
| Line 18: | Line 18: | ||
*:* Mimicks pseudotumor cerebri, is most homogeneous presentation, and accounts for almost half of all presentations | *:* Mimicks pseudotumor cerebri, is most homogeneous presentation, and accounts for almost half of all presentations | ||
*:* HA is nonspecific, sometimes with vomiting | *:* HA is nonspecific, sometimes with vomiting | ||
*:* | *:* Focal cerebral signs: | ||
*:*:* Quite heterogeneous, often reflecting focal areas of stroke, or seizure activity | *:*:* Quite heterogeneous, often reflecting focal areas of stroke, or seizure activity | ||
*:* | *:* Cavernous sinus syndrome: | ||
*:*:* Chemosis | *:*:* Chemosis | ||
*:*:* Proptosis | *:*:* Proptosis | ||
| Line 26: | Line 26: | ||
*:*:* CN III, IV, and VI findings | *:*:* CN III, IV, and VI findings | ||
*:* Unilateral or bilateral | *:* Unilateral or bilateral | ||
*:* | *:* Other: | ||
*:*:* HA alone | *:*:* HA alone | ||
*:*:* Seizure | *:*:* Seizure | ||
Revision as of 13:53, 21 September 2012
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Differentiating Cavernous sinus thrombosis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
Symptoms
- Presentation may be acute (<48h) in a third, subacute (48h – 30 days) in a third, or chronic (>30 days) in a third.
- Patterns
- Isolated intracranial hypertension:
- HA (headache)
- Papilledema
- Sixth nerve palsy
- Mimicks pseudotumor cerebri, is most homogeneous presentation, and accounts for almost half of all presentations
- HA is nonspecific, sometimes with vomiting
- Focal cerebral signs:
- Quite heterogeneous, often reflecting focal areas of stroke, or seizure activity
- Cavernous sinus syndrome:
- Chemosis
- Proptosis
- Painful ophthalmoplegia
- CN III, IV, and VI findings
- Unilateral or bilateral
- Other:
- HA alone
- Seizure
- Psychiatric disturbance
- Isolated intracranial hypertension: