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 [[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> | [[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><ref name="pmid8570157">{{cite journal| author=Igarashi H, Igarashi S, Fujio N, Fukui K, Yoshida A| title=Magnetic resonance imaging in the early diagnosis of cavernous sinus thrombosis. | journal=Ophthalmologica | year= 1995 | volume= 209 | issue= 5 | pages= 292-6 | pmid=8570157 | doi=10.1159/000310635 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8570157 }} </ref><ref name="pmid8014656">{{cite journal| author=Berge J, Louail C, Caillé JM| title=Cavernous sinus thrombosis diagnostic approach. | journal=J Neuroradiol | year= 1994 | volume= 21 | issue= 2 | pages= 101-17 | pmid=8014656 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8014656 }} </ref> | ||
===== Diagnostic results ===== | ===== Diagnostic results ===== | ||
The following findings on performing MRI are confirmatory for cavernous sinus thrombosis: | The following findings on performing MRI are confirmatory for cavernous sinus thrombosis: | ||
* '''T1''' and '''T2''' | * '''T1''' and '''T2''' | ||
** Absent flow void | ** Absent flow void | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: (name of the system)]] | |||
Revision as of 15:20, 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][2][3]
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.
- ↑ Igarashi H, Igarashi S, Fujio N, Fukui K, Yoshida A (1995). "Magnetic resonance imaging in the early diagnosis of cavernous sinus thrombosis". Ophthalmologica. 209 (5): 292–6. doi:10.1159/000310635. PMID 8570157.
- ↑ Berge J, Louail C, Caillé JM (1994). "Cavernous sinus thrombosis diagnostic approach". J Neuroradiol. 21 (2): 101–17. PMID 8014656.