Cavernous sinus thrombosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

• The majority of patients with [disease name] are asymptomatic.

OR

• The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
• Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

Patients with [disease name]] may have a positive history of:

• [History finding 1]
• [History finding 2]
• [History finding 3]

Common Symptoms

Common symptoms of [disease] include:

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]

References

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History and 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

References

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