Cavernous sinus thrombosis causes

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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

Causes

It is understood that the main cause of cavernous sinus thrombosis is bacterial infections.^[1]^[2]

Common Causes

Septic cases of cavernous sinus thrombosis are usually caused by central facial infections, especially within the danger triangle of the face (from the corners of the mouth to the bridge of the nose).^[1]^[2]

Common causes of cavernous sinus thrombosis may include:^[1]^[2]

Staphylococcus aureus may account for two-thirds of cases of cavernous sinus thrombosis.
Streptococcus species (approximately 20% of cases)

Less Common Causes

Less common causes of cavernous sinus thrombosis include:^[1]^[2]^[3]^[4]^[5]^[6]

Pneumococcus
Staphylococcus lugdunensis endocarditis
Gram-negative species such as Proteus
Hemophilus
Pseudomonas
Fusobacterium
Bacteroides
Gram-positive species such as Corynebacterium and Actinomyces
Fungal infections
Severe head injuries
Autoimmune conditions such as lupus
Pregnancy

Sources of infection

The main sources of infection in cavernous sinus thrombosis include:

Mastoiditis^[7]
Otitis media^[8]
Abscess^[9]
Cellulitis^[10]
Sinusitis^[11]
Dental infections or procedures (even a posterior superior alveolar nerve block entering the pterygoid plexus)^[12]

Causes by Organ System

Cardiovascular	Staphylococcus lugdunensis endocarditis
Chemical/Poisoning	No underlying causes
Dental	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	No underlying causes
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	Staphylococcus aureus may account for two-thirds of cases of cavernous sinus thrombosis. Streptococcus species (approximately 20% of cases) Pneumococcus Gram-negative species such as Proteus Hemophilus Pseudomonas Fusobacterium Bacteroides Gram-positive species such as Corynebacterium and Actinomyces Fungal infections
Musculoskeletal/Orthopedic	No underlying causes
Neurologic	No underlying causes
Nutritional/Metabolic	No underlying causes
Obstetric/Gynecologic	Pregnancy^[13]
Oncologic	No underlying causes
Ophthalmologic	No underlying causes
Overdose/Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal/Electrolyte	No underlying causes
Rheumatology/Immunology/Allergy	Autoimmune conditions such as lupus^[14]
Sexual	No underlying causes
Trauma	Severe head injuries^[15]
Urologic	No underlying causes
Miscellaneous	No underlying causes

Causes in Alphabetical Order

List the causes of the disease in alphabetical order:

Cause 1
Cause 2
Cause 3
Cause 4
Cause 5
Cause 6
Cause 7
Cause 8
Cause 9
Cause 10

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 Varshney S, Malhotra M, Gupta P, Gairola P, Kaur N (2015). "Cavernous sinus thrombosis of nasal origin in children". Indian J Otolaryngol Head Neck Surg. 67 (1): 100–5. doi:10.1007/s12070-014-0805-4. PMC 4298578. PMID 25621244.
↑ ^2.0 ^2.1 ^2.2 ^2.3 Clifford-Jones RE, Ellis CJ, Stevens JM, Turner A (1982). "Cavernous sinus thrombosis". J Neurol Neurosurg Psychiatry. 45 (12): 1092–7. PMC 491689. PMID 7161604.
↑ Munjal M, Khurana AS (2004). "Fungal infections and cavernous sinus thrombosis". Indian J Otolaryngol Head Neck Surg. 56 (3): 235–7. doi:10.1007/BF02974362. PMC 3451890. PMID 23120086.
↑ Ghuman MS, Salunke P, Sahoo SK, Kaur S (2016). "Cerebral venous sinus thrombosis in closed head trauma: A call to look beyond fractures and hematomas!". J Emerg Trauma Shock. 9 (1): 37–8. doi:10.4103/0974-2700.173865. PMC 4766763. PMID 26957825.
↑ Singh RK, Bhoi SK, Kalita J, Misra UK (2017). "Cerebral Venous Sinus Thrombosis Presenting Feature of Systemic Lupus Erythematosus". J Stroke Cerebrovasc Dis. 26 (3): 518–522. doi:10.1016/j.jstrokecerebrovasdis.2016.12.001. PMID 28065614.
↑ López F, Santamarta E, Martínez P, Sáiz-Ayala A, Llorente JL (2017). "Cavernous sinus thrombosis during pregnancy". Auris Nasus Larynx. 44 (2): 232–236. doi:10.1016/j.anl.2016.04.006. PMID 27146007.
↑ Venezio FR, Naidich TP, Shulman ST (1982). "Complications of mastoiditis with special emphasis on venous sinus thrombosis". J Pediatr. 101 (4): 509–13. PMID 7119951.
↑ Kuczkowski J (2007). "[Thrombophlebitis of venous sinuses in otitis media]". Otolaryngol Pol. 61 (5): 769–73. doi:10.1016/S0030-6657(07)70523-1. PMID 18552016.
↑ Verma R, Junewar V, Singh RK, Ram H, Pal US (2013). "Bilateral cavernous sinus thrombosis and facial palsy as complications of dental abscess". Natl J Maxillofac Surg. 4 (2): 252–5. doi:10.4103/0975-5950.127664. PMC 3961908. PMID 24665189.
↑ Allegrini D, Reposi S, Nocerino E, Pece A (2017). "Odontogenic orbital cellulitis associated with cavernous sinus thrombosis and pulmonary embolism: a case report". J Med Case Rep. 11 (1): 164. doi:10.1186/s13256-017-1309-0. PMC 5477346. PMID 28629401.
↑ Komatsu H, Matsumoto F, Kasai M, Kurano K, Sasaki D, Ikeda K (2013). "Cavernous sinus thrombosis caused by contralateral sphenoid sinusitis: a case report". Head Face Med. 9: 9. doi:10.1186/1746-160X-9-9. PMC 3605125. PMID 23497466.
↑ Yeo GS, Kim HY, Kim H, Kwak EJ, Jung YS, Park HS; et al. (2014). "Cavernous sinus thrombosis caused by a dental infection: a case report". J Korean Assoc Oral Maxillofac Surg. 40 (4): 195–8. doi:10.5125/jkaoms.2014.40.4.195. PMC 4170663. PMID 25247150.
↑ López F, Santamarta E, Martínez P, Sáiz-Ayala A, Llorente JL (2017). "Cavernous sinus thrombosis during pregnancy". Auris Nasus Larynx. 44 (2): 232–236. doi:10.1016/j.anl.2016.04.006. PMID 27146007.
↑ Singh RK, Bhoi SK, Kalita J, Misra UK (2017). "Cerebral Venous Sinus Thrombosis Presenting Feature of Systemic Lupus Erythematosus". J Stroke Cerebrovasc Dis. 26 (3): 518–522. doi:10.1016/j.jstrokecerebrovasdis.2016.12.001. PMID 28065614.
↑ Ghuman MS, Salunke P, Sahoo SK, Kaur S (2016). "Cerebral venous sinus thrombosis in closed head trauma: A call to look beyond fractures and hematomas!". J Emerg Trauma Shock. 9 (1): 37–8. doi:10.4103/0974-2700.173865. PMC 4766763. PMID 26957825.

Template:WH Template:WS

[pmid25621244-1] 1.0 ^1.1 ^1.2 ^1.3 Varshney S, Malhotra M, Gupta P, Gairola P, Kaur N (2015). "Cavernous sinus thrombosis of nasal origin in children". Indian J Otolaryngol Head Neck Surg. 67 (1): 100–5. doi:10.1007/s12070-014-0805-4. PMC 4298578. PMID 25621244.

[pmid7161604-2] 2.0 ^2.1 ^2.2 ^2.3 Clifford-Jones RE, Ellis CJ, Stevens JM, Turner A (1982). "Cavernous sinus thrombosis". J Neurol Neurosurg Psychiatry. 45 (12): 1092–7. PMC 491689. PMID 7161604.

[pmid23120086-3] Munjal M, Khurana AS (2004). "Fungal infections and cavernous sinus thrombosis". Indian J Otolaryngol Head Neck Surg. 56 (3): 235–7. doi:10.1007/BF02974362. PMC 3451890. PMID 23120086.

[pmid26957825-4] Ghuman MS, Salunke P, Sahoo SK, Kaur S (2016). "Cerebral venous sinus thrombosis in closed head trauma: A call to look beyond fractures and hematomas!". J Emerg Trauma Shock. 9 (1): 37–8. doi:10.4103/0974-2700.173865. PMC 4766763. PMID 26957825.

[pmid28065614-5] Singh RK, Bhoi SK, Kalita J, Misra UK (2017). "Cerebral Venous Sinus Thrombosis Presenting Feature of Systemic Lupus Erythematosus". J Stroke Cerebrovasc Dis. 26 (3): 518–522. doi:10.1016/j.jstrokecerebrovasdis.2016.12.001. PMID 28065614.

[pmid27146007-6] López F, Santamarta E, Martínez P, Sáiz-Ayala A, Llorente JL (2017). "Cavernous sinus thrombosis during pregnancy". Auris Nasus Larynx. 44 (2): 232–236. doi:10.1016/j.anl.2016.04.006. PMID 27146007.

[pmid7119951-7] Venezio FR, Naidich TP, Shulman ST (1982). "Complications of mastoiditis with special emphasis on venous sinus thrombosis". J Pediatr. 101 (4): 509–13. PMID 7119951.

[pmid18552016-8] Kuczkowski J (2007). "[Thrombophlebitis of venous sinuses in otitis media]". Otolaryngol Pol. 61 (5): 769–73. doi:10.1016/S0030-6657(07)70523-1. PMID 18552016.

[pmid24665189-9] Verma R, Junewar V, Singh RK, Ram H, Pal US (2013). "Bilateral cavernous sinus thrombosis and facial palsy as complications of dental abscess". Natl J Maxillofac Surg. 4 (2): 252–5. doi:10.4103/0975-5950.127664. PMC 3961908. PMID 24665189.

[pmid28629401-10] Allegrini D, Reposi S, Nocerino E, Pece A (2017). "Odontogenic orbital cellulitis associated with cavernous sinus thrombosis and pulmonary embolism: a case report". J Med Case Rep. 11 (1): 164. doi:10.1186/s13256-017-1309-0. PMC 5477346. PMID 28629401.

[pmid23497466-11] Komatsu H, Matsumoto F, Kasai M, Kurano K, Sasaki D, Ikeda K (2013). "Cavernous sinus thrombosis caused by contralateral sphenoid sinusitis: a case report". Head Face Med. 9: 9. doi:10.1186/1746-160X-9-9. PMC 3605125. PMID 23497466.

[pmid25247150-12] Yeo GS, Kim HY, Kim H, Kwak EJ, Jung YS, Park HS; et al. (2014). "Cavernous sinus thrombosis caused by a dental infection: a case report". J Korean Assoc Oral Maxillofac Surg. 40 (4): 195–8. doi:10.5125/jkaoms.2014.40.4.195. PMC 4170663. PMID 25247150.

[pmid271460072-13] López F, Santamarta E, Martínez P, Sáiz-Ayala A, Llorente JL (2017). "Cavernous sinus thrombosis during pregnancy". Auris Nasus Larynx. 44 (2): 232–236. doi:10.1016/j.anl.2016.04.006. PMID 27146007.

[pmid280656142-14] Singh RK, Bhoi SK, Kalita J, Misra UK (2017). "Cerebral Venous Sinus Thrombosis Presenting Feature of Systemic Lupus Erythematosus". J Stroke Cerebrovasc Dis. 26 (3): 518–522. doi:10.1016/j.jstrokecerebrovasdis.2016.12.001. PMID 28065614.

[pmid269578252-15] Ghuman MS, Salunke P, Sahoo SK, Kaur S (2016). "Cerebral venous sinus thrombosis in closed head trauma: A call to look beyond fractures and hematomas!". J Emerg Trauma Shock. 9 (1): 37–8. doi:10.4103/0974-2700.173865. PMC 4766763. PMID 26957825.

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