Cavernous sinus thrombosis diagnostic study of choice: Difference between revisions
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=== Study of choice === | === Study of choice === | ||
Magnetic resonance imaging (MRI) with MR venography is the gold standard test for the diagnosis of cavernous sinus thrombosis.<ref name="pmid22368772">{{cite journal| author=Chiewvit P, Piyapittayanan S, Poungvarin N| title=Cerebral venous thrombosis: diagnosis dilemma. | journal=Neurol Int | year= 2011 | volume= 3 | issue= 3 | pages= e13 | pmid=22368772 | doi=10.4081/ni.2011.e13 | pmc=3286153 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22368772 }} </ref> | [[Magnetic resonance imaging]] (MRI) with [[Venography|MR venography]] is the gold standard test for the diagnosis of cavernous sinus thrombosis.<ref name="pmid22368772">{{cite journal| author=Chiewvit P, Piyapittayanan S, Poungvarin N| title=Cerebral venous thrombosis: diagnosis dilemma. | journal=Neurol Int | year= 2011 | volume= 3 | issue= 3 | pages= e13 | pmid=22368772 | doi=10.4081/ni.2011.e13 | pmc=3286153 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22368772 }} </ref> | ||
===== Diagnostic results ===== | ===== Diagnostic results ===== | ||
The following | The following findings on performing MRI are confirmatory for cavernous sinus thrombosis: | ||
* | * '''T1''' and '''T2''' | ||
* | ** Absent flow void | ||
** Signal characteristics vary depending on the age of the thrombus but will be abnormal | |||
* Contrast-enhancement or lack of is not a reliable indicator as organising thrombus can enhance | |||
* Diagnosis can generally be made on venography | |||
===== Sequence of Diagnostic Studies ===== | ===== Sequence of Diagnostic Studies ===== | ||
Revision as of 15:13, 2 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Diagnostic Study of Choice
Study of choice
Magnetic resonance imaging (MRI) with MR venography is the gold standard test for the diagnosis of cavernous sinus thrombosis.[1]
Diagnostic results
The following findings on performing MRI are confirmatory for cavernous sinus thrombosis:
- T1 and T2
- Absent flow void
- Signal characteristics vary depending on the age of the thrombus but will be abnormal
- Contrast-enhancement or lack of is not a reliable indicator as organising thrombus can enhance
- Diagnosis can generally be made on venography
Sequence of Diagnostic Studies
The [name of investigation] must be performed when:
- The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
- A positive [test] is detected in the patient, to confirm the diagnosis.
OR
The various investigations must be performed in the following order:
- [Initial investigation]
- [2nd investigation]
Name of Diagnostic Criteria
It is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
[Disease name] is primarily diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
OR
There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
OR
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
OR
The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
OR
[Disease name] may be diagnosed at any time if one or more of the following criteria are met:
- Criteria 1
- Criteria 2
- Criteria 3
OR
IF there are clear, established diagnostic criteria
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
OR
The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
OR
The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
OR
IF there are no established diagnostic criteria
There are no established criteria for the diagnosis of [disease name].
References
- ↑ Chiewvit P, Piyapittayanan S, Poungvarin N (2011). "Cerebral venous thrombosis: diagnosis dilemma". Neurol Int. 3 (3): e13. doi:10.4081/ni.2011.e13. PMC 3286153. PMID 22368772.