Cavernous sinus thrombosis natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==Natural History== | ||
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Revision as of 20:01, 3 December 2012
Cavernous sinus thrombosis Microchapters |
Differentiating Cavernous sinus thrombosis from other Diseases |
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Diagnosis |
Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Natural History
In reality, most patients with cavernous sinus thrombosis do not present with such serious illness, and if they survive tend to have a better prognosis than patients with arterial thrombosis. The real trick is suspecting and making the diagnosis.
Complications
Progressive coma and death with hemorrhagic infarction pathologically.
Prognosis
- Prognosis better as diagnosis is increasing made with imaging instead of autopsy, with mortality rates down from 100% to 6.5% in a recent review of 76 patients.
- Poor prognostic features:
- Rapid progression
- Coma
- Extremes of age
- Focal signs and symptoms
- Hemorrhagic infarct
- Serious underlying cause
- Of note, if patient survives, outcome is better than for arterial infarct