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''
*:* Isolated intracranial hypertension:
*:*:* HA (headache)
*:*:* HA (headache)
*:*:* Papilledema  
*:*:* Papilledema  
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*:* 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''
*:* 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''
*:* Cavernous sinus syndrome:
*:*:* Chemosis
*:*:* Chemosis
*:*:* Proptosis
*:*:* Proptosis
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*:*:* CN III, IV, and VI findings
*:*:* CN III, IV, and VI findings
*:* Unilateral or bilateral
*:* Unilateral or bilateral
*:* ''Other''
*:* Other:
*:*:* HA alone
*:*:* HA alone
*:*:* Seizure
*:*:* Seizure

Revision as of 13:53, 21 September 2012

Cavernous sinus thrombosis Microchapters

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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

References


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