Zakrzepica zatoki jamistej
Objawy

Zakrzepica zatoki jamistej to poważne, potencjalnie śmiertelne powikłanie infekcji twarzy lub głowy, z 30% śmiertelnością mimo leczenia. Objawy pojawiają się zwykle 5-10 dni po infekcji i rozpoczynają się silnym, opornym na leki bólem głowy (85-90% przypadków), zlokalizowanym za oczami, nasilającym się w pozycji leżącej. Charakterystycznym objawem jest wytrzeszcz, który zaczyna się jednostronnie i w ciągu 24-48 godzin przechodzi na drugie oko, co jest patognomoniczne dla tego schorzenia. Towarzyszą temu objawy oczne: ból, ptoza, przekrwienie spojówek, oftalmoplegia, diplopia oraz zaburzenia widzenia. W przebiegu choroby mogą wystąpić gorączka z dreszczami, drętwienie twarzy, wymioty, napady drgawkowe (10-40% pacjentów) oraz zmiany stanu psychicznego, takie jak dezorientacja i senność. Nieleczona zakrzepica prowadzi do sepsy, śpiączki, utraty wzroku i powikłań neurologicznych, w tym zapalenia opon mózgowo-rdzeniowych i ropni mózgu.

Objawy i przebieg zakrzepicy zatoki jamistej

Zakrzepica zatoki jamistej to rzadkie, lecz niezwykle poważne schorzenie, które może rozwinąć się w odpowiedzi na infekcję twarzy lub głowy. Jest to stan zagrażający życiu, którego śmiertelność sięga nawet 30% przypadków, mimo zastosowania odpowiedniego leczenia.12 Choroba ta może prowadzić do długotrwałych uszkodzeń mózgu, oczu oraz nerwów, a bez natychmiastowego leczenia może zakończyć się zgonem.3

Wczesne objawy zakrzepicy zatoki jamistej

Objawy zakrzepicy zatoki jamistej pojawiają się zazwyczaj w ciągu 5-10 dni po wystąpieniu nieleczonej infekcji twarzy lub czaszki, takiej jak zapalenie zatok lub ropień.456 Najczęstszym wczesnym objawem jest silny ból głowy, który występuje u 85-90% pacjentów i zazwyczaj poprzedza inne symptomy.789 Ten ból głowy:

  • Narasta stopniowo i nie ustępuje po lekach przeciwbólowych
  • Może być ostry i pulsujący
  • Jest zazwyczaj zlokalizowany za oczami lub wokół nich
  • Pogarsza się w pozycji leżącej lub przy pochylaniu się101112

18

Po bólu głowy pojawiają się objawy oczne, które mogą wystąpić nagle lub rozwijać się stopniowo:13

  • Obrzęk i wypuklenie oczu (wytrzeszcz) – zazwyczaj zaczyna się od jednego oka i w ciągu 24-48 godzin rozprzestrzenia się na drugie oko, co jest cechą patognomoniczną zakrzepicy zatoki jamistej14151617
  • Ból oczu – często określany jako ciężki i głęboki1819
  • Opadnięcie powiek (ptoza)2021
  • Zaczerwienienie oczu (przekrwienie spojówek)2223
  • Ograniczenie ruchomości gałek ocznych (oftalmoplegia) – trudność lub niemożność poruszania oczami2425
  • Zaburzenia widzeniapodwójne widzenie (diplopia) lub niewyraźne widzenie2627

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Postępująca symptomatologia

Wraz z rozwojem choroby mogą pojawić się następujące objawy:28

  • Wysoka gorączka – często z naprzemiennymi dreszczami2930
  • Drętwienie twarzy lub zaburzenia czucia – szczególnie w obszarze gałązek ocznej i szczękowej nerwu trójdzielnego3132
  • Wymioty3334
  • Napady drgawkowe (występują u 10-40% pacjentów)3536
  • Zmiany stanu psychicznego – dezorientacja, senność3738

3035

Objawy zaawansowanej zakrzepicy zatoki jamistej

Nieleczona zakrzepica zatoki jamistej prowadzi do pogorszenia stanu pacjenta i może powodować:3940

4142

Charakterystyczne wzorce progresji choroby

Zakrzepica zatoki jamistej charakteryzuje się pewnymi typowymi wzorcami progresji, które mają znaczenie diagnostyczne:4647

Jednostronne do obustronnych objawów ocznych

Kluczową cechą zakrzepicy zatoki jamistej jest przejście objawów ocznych z jednego oka na drugie. Proces ten zazwyczaj następuje w ciągu 24-48 godzin od pojawienia się pierwszych objawów, co wynika z rozprzestrzeniania się zakrzepu przez zatoki międzyjamiste do przeciwległej zatoki jamistej.484950 Ta cecha jest uznawana za patognomoniczną dla zakrzepicy zatoki jamistej i ma istotne znaczenie diagnostyczne.51

Zajęcie nerwów czaszkowych

W przebiegu choroby często dochodzi do dysfunkcji nerwów czaszkowych przebiegających przez zatokę jamistą:5253

  • Nerw III (okoruchowy) – występuje u około 85% pacjentów, powodując opadanie powieki i zaburzenia ruchomości gałki ocznej54
  • Nerw VI (odwodzący) – zajęty u około 70% pacjentów, jest zazwyczaj pierwszym zajętym nerwem, prowadząc do porażenia odwodzenia oka5556
  • Nerw IV (bloczkowy) – powoduje zaburzenia ruchomości oka57
  • Nerw V (trójdzielny, gałązki V1 i V2) – prowadzi do zaburzeń czucia w obszarze twarzy5859

5455

Przebieg czasowy choroby

Zakrzepica zatoki jamistej może rozwijać się w różnym tempie:60

  • Postać ostra – gwałtowny początek z szybko postępującymi objawami61
  • Postać podostra – objawy rozwijają się stopniowo przez kilka dni6263
  • Postać przewlekła – powolna progresja trwająca ponad miesiąc64

6163

Niezależnie od tempa rozwoju, nieleczona zakrzepica zatoki jamistej prowadzi do postępującego pogarszania się stanu pacjenta, senności, śpiączki, a ostatecznie do zgonu.6566

Rokowanie i potencjalne powikłania

Przed erą antybiotyków zakrzepica zatoki jamistej niemal zawsze kończyła się zgonem. Obecnie, dzięki nowoczesnym metodom leczenia, przeżywalność wynosi około 70-85%.6768 Jednak nawet przy odpowiednim leczeniu choroba ta często prowadzi do poważnych powikłań.69

Czynniki związane z gorszym rokowaniem

Niekorzystne czynniki prognostyczne obejmują:7071

  • Zaburzenia świadomości lub śpiączka7273
  • Zajęcie głębokiego układu żylnego7475
  • Krwotoczny zawał mózgu7677
  • Opóźnione rozpoznanie i leczenie78

7273

Przewlekłe powikłania neurologiczne

U pacjentów, którzy przeżyli zakrzepicę zatoki jamistej, często występują długotrwałe powikłania neurologiczne:7980

  • Zaburzenia widzenia – u około 20% osób, od podwójnego widzenia do całkowitej utraty wzroku8182
  • Porażenie nerwów czaszkowych – najczęściej nerwów III i VI, co prowadzi do zaburzeń ruchomości oczu8384
  • Nawracające bóle głowy8586
  • Napady drgawkowe8788
  • Deficyty neurologiczne – niedowład, zaburzenia czucia89

8183

Potencjalne poważne powikłania

Zakrzepica zatoki jamistej może prowadzić do szeregu poważnych, a nawet zagrażających życiu powikłań:9091

  • Zapalenie opon mózgowo-rdzeniowych9293
  • Ropień mózgu94
  • Sepsa95
  • Udar mózgu – w wyniku zwężenia tętnicy szyjnej wewnętrznej lub zatorów septycznych9697
  • Tętniaki mykotyczne tętnicy szyjnej wewnętrznej98
  • Zakrzepica żył głębokich – w innych lokalizacjach, np. żyły kończyn dolnych (zakrzepica żył głębokich) czy płuc (zatorowość płucna)99
  • Niedoczynność przysadki mózgowej100

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Szczególne warianty kliniczne

Zakrzepica zatoki jamistej może prezentować się w różnych wariantach klinicznych, w zależności od czynników etiologicznych i indywidualnych cech pacjenta.101

Zakrzepica zatoki jamistej związana z COVID-19

W bardzo rzadkich przypadkach zakrzepica zatoki jamistej może wystąpić po szczepieniu przeciwko COVID-19. W takich sytuacjach objawy mogą pojawić się między 4 dniem a 4 tygodniem po szczepieniu.102 Ryzyko to jest jednak niezwykle małe i nie powinno wpływać na decyzje dotyczące szczepień.

Zakrzepica zatoki jamistej z objawami typu Tolosa-Hunt

W niektórych przypadkach zakrzepica zatoki jamistej może naśladować zespół Tolosa-Hunt, charakteryzujący się bolesnym porażeniem nerwów gałkoruchowych, jednostronnym bólem oczodołu i porażeniem nerwów czaszkowych III, IV i/lub VI, które szybko ustępuje po podaniu kortykosteroidów.103

Zakrzepica zatoki jamistej w przebiegu mucormykozy rinoorbitocerebralnej

Mucormykoza, rzadka, ale poważna infekcja grzybicza, może prowadzić do zakrzepicy zatoki jamistej. Początkowe objawy obejmują ból zaoczodołowy, obrzęk okołooczodołowy, wytrzeszcz, podwójne widzenie i pogorszenie wzroku.104 Ta postać zakrzepicy zatoki jamistej często wiąże się z infekcjami zatok przynosowych, szczególnie sitowej i klinowej.105

Zakrzepica zatoki jamistej z nietypowymi objawami początkowymi

W rzadkich przypadkach zakrzepica zatoki jamistej może manifestować się nietypowymi objawami początkowymi, takimi jak:

  • Szczękościsk (ograniczenie otwarcia ust) – szczególnie, gdy infekcja pochodzi ze źródła zębopochodnego i zajmuje mięśnie skrzydłowe106107
  • Zaburzenia świadomości lub katatonię – w rzadkich przypadkach zakrzepica zatoki jamistej może objawiać się zaburzeniami świadomości lub objawami katatonii108109

106108

Różnice w prezentacji klinicznej w zależności od wieku

Objawy zakrzepicy zatoki jamistej mogą różnić się w zależności od wieku pacjenta, co ma znaczenie dla diagnostyki i rokowania.110

Zakrzepica zatoki jamistej u dzieci

U noworodków i małych dzieci zakrzepica zatoki jamistej może manifestować się inaczej niż u dorosłych:111

  • U noworodków typowe objawy to napady drgawkowe, drażliwość i nadmierna senność112
  • U starszych dzieci i nastolatków objawy są bardziej zbliżone do obserwowanych u dorosłych i obejmują:113
    • Silne bóle głowy, często powodujące nudności i wymioty
    • Zawroty głowy
    • Problemy ze wzrokiem
    • Osłabienie jednej strony ciała
    • Postępujące pogorszenie stanu psychicznego
    • Napady drgawkowe

112113

Zakrzepica zatoki jamistej u dorosłych

U dorosłych zakrzepica zatoki jamistej często wiąże się z infekcjami zatok lub zębów. Objawy mogą być bardziej nasilone, a ryzyko powikłań, takich jak utrata wzroku i deficyty neurologiczne, jest wyższe.114 Szybka diagnoza i leczenie mają kluczowe znaczenie dla zapobiegania długotrwałym uszkodzeniom.115

Zakrzepica zatoki jamistej u osób starszych

U osób starszych zakrzepica zatoki jamistej może przebiegać z mniej typowymi objawami, co utrudnia wczesne rozpoznanie. Ponadto, ze względu na częstsze współistniejące choroby, ryzyko powikłań i śmiertelność są wyższe w tej grupie wiekowej.116

Kiedy należy natychmiast szukać pomocy medycznej

Zakrzepica zatoki jamistej jest stanem zagrażającym życiu wymagającym natychmiastowej interwencji medycznej. Należy niezwłocznie skontaktować się z lekarzem lub udać się na oddział ratunkowy w przypadku wystąpienia następujących objawów:117118

  • Silny ból głowy, który nie ustępuje po lekach przeciwbólowych lub się nasila119
  • Ból głowy, który pogarsza się w pozycji leżącej lub przy pochylaniu się120
  • Ból głowy z towarzyszącymi zaburzeniami widzenia, nudnościami, wymiotami, problemami z mową, osłabieniem, sennością lub drgawkami121
  • Ból lub obrzęk jednego lub obu oczu122
  • Podwójne widzenie lub utrata wzroku123
  • Opadanie powiek124
  • Nagła niemożność poruszania okiem w określonym kierunku125
  • Wysoka gorączka, szczególnie gdy towarzyszy jej obrzęk lub ból oczu126

119120

Szczególnie czujni powinni być pacjenci, którzy w ciągu ostatnich kilku dni przebyli infekcję twarzy, głowy lub zatok, a także osoby po zabiegach stomatologicznych.127128 Im wcześniej rozpozna się i rozpocznie leczenie zakrzepicy zatoki jamistej, tym lepsze są rokowania dla pacjenta.129

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  1. 09.04.2026
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Materiały źródłowe

  • #1 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #2 Cavernous Sinus Thrombosis: Causes, Symptoms, and Treatment
    https://www.webmd.com/brain/cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a very rare, life-threatening condition that can affect adults and children. […] Symptoms of cavernous sinus thrombosis may include: Severe headache often accompanied by tearing, Swelling, redness, or irritation around one or both eyes, Drooping eyelids, Inability to move the eye, High fever, Pain or numbness around the face or eyes, Fatigue, Vision loss or double vision, Seizures, Altered mental status that can range from confusion to coma. […] Double vision and seizures are rare. […] Cavernous sinus thrombosis is a serious condition. It causes death in up to 30% of cases.
  • #3 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #4 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #5
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #6 Cavernous Sinus Thrombosis: Symptoms, Causes, Diagnosis, Treatment
    https://www.healthline.com/health/cavernous-sinus-thrombosis
    The symptoms of cavernous sinus thrombosis tend to show up about 5 to 10 days after you develop an infection on your face or in your head. […] Possible symptoms include: severe headache or facial pain, especially around your eyes; fever of 100.4F (38C) or above; blurred or double vision; eye muscle paralysis, leading to drooping eyelids or difficulty moving your eyes; protruding or swollen eye; swelling in or around eyelid; confusion; seizures. […] Cavernous sinus thrombosis is a very serious condition that can be life-threatening. However, it’s also relatively rare. If you’ve recently had a severe head injury or an infection in your head, keep an eye out for any of the symptoms listed above. […] The sooner you recognize the symptoms, the sooner you can start IV antibiotics and prevent the infection from spreading.
  • #7
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #8 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #9 Cavernous sinus thrombosis | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/cavernous-sinus-thrombosis?lang=us
    Cavernous sinus thrombosis (CST), the presence of thrombus in the cavernous sinus, is a rare condition, most commonly infectious in nature, and the diagnosis on imaging is not always straightforward. It has high mortality and morbidity rates. […] A headache is the most common symptom (85%). Focal neurological signs and/or seizures may also occur. Isolated CN III palsy is thought to be an early manifestation. […] Cavernous sinus thrombosis from a septic etiology occurs due to embolization of bacteria which trigger thrombosis that becomes trapped within the cavernous sinus. The subsequent reduction in venous drainage results in facial and periorbital edema, ptosis, proptosis, chemosis, painful eye movements, papilledema, retinal venous distension and loss of vision. […] Primary consideration for the management of cavernous sinus thrombosis is the use of antimicrobials and antithrombotic agents. The mortality rate is up to 30%. Significant morbidity (e.g. blindness, cranial nerve palsy) in survivors not uncommon.
  • #10 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #11 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #12
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #13 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #14
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #15 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #16 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #17 Cavernous Sinus Thrombosis – emDocs
    https://www.emdocs.net/cavernous-sinus-thrombosis/
    CST can present acutely or sub-acutely. Most patients will have fever, headache, proptosis, periorbital edema and/or chemosis. Most will also have external ophthalmoplegia, due to venous congestion of orbital tissues, extra-ocular muscle inflammation and/or inflammation of cranial nerves III, IV and VI (1,5,6,12). Other symptoms include eyelid erythema, autonomic dysfunction, sensory changes in the ophthalmic and maxillary trigeminal nerve distributions, pupillary abnormalities, and papilledema (1, 3, 4, 6). Vision loss is rare as the orbital nerve lies outside the cavernous sinus but it can occur via other mechanisms such as occlusion of the ICA, ophthalmic or central retinal arteries, orbital congestion, or arteritis (1,13). CST commonly spreads from one eye to both within 24 to 48 hours (4,6).
  • #18
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #19
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #20 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #21 Cavernous sinus thrombosis – Wikipedia
    https://en.wikipedia.org/wiki/Cavernous_sinus_thrombosis
    Cavernous sinus thrombosis symptoms include: decrease or loss of vision, chemosis, exophthalmos (bulging eyes), headaches, and paralysis of the cranial nerves which course through the cavernous sinus. […] Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (exophthalmos). […] Other common signs and symptoms include: Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). Sixth nerve palsy is the most common. Sensory deficits of the ophthalmic and maxillary branch of the fifth nerve are common. Periorbital sensory loss and impaired corneal reflex may be noted. Papilledema, retinal hemorrhages, and decreased visual acuity and blindness may occur from venous congestion within the retina. […] Infection can spread to contralateral cavernous sinus within 24-48 hours of initial presentation.
  • #22
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #23 Intracranial Venous Thrombosis: Symptoms and Treatment | Doctor
    https://patient.info/doctor/intracranial-venous-thrombosis
    Cavernous sinus thrombosis which may cause compressive symptoms with cranial nerve palsies. […] Headache is the most common presenting symptom, occurring in 90% of patients. […] 20-40% will present with seizures. […] Encephalopathy and coma have been reported in up to 20% of patients with intracranial venous thrombosis. […] 20-50% have focal neurological deficits. […] Specific cranial nerve lesions can include vestibular neuropathy, pulsatile tinnitus, unilateral deafness, diplopia, facial weakness and obscuration of vision. If the thrombosis involves the jugular vein, the IX, X, XI and XII nerves may be involved. […] Papilloedema may be seen.
  • #24 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #25
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #26 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #27
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #28 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #29
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #30
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #31 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #32 Cavernous sinus thrombosis – Wikipedia
    https://en.wikipedia.org/wiki/Cavernous_sinus_thrombosis
    Cavernous sinus thrombosis symptoms include: decrease or loss of vision, chemosis, exophthalmos (bulging eyes), headaches, and paralysis of the cranial nerves which course through the cavernous sinus. […] Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (exophthalmos). […] Other common signs and symptoms include: Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). Sixth nerve palsy is the most common. Sensory deficits of the ophthalmic and maxillary branch of the fifth nerve are common. Periorbital sensory loss and impaired corneal reflex may be noted. Papilledema, retinal hemorrhages, and decreased visual acuity and blindness may occur from venous congestion within the retina. […] Infection can spread to contralateral cavernous sinus within 24-48 hours of initial presentation.
  • #33
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #34 Cavernous sinus thrombosis – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/956
    Cavernous sinus thrombosis (CST) is a thrombus formation within the cavernous sinus, which may be either septic or aseptic in origin. […] In the acute presentation, one eye is typically affected first, followed by the second eye within 48 hours of symptom onset. […] Common early clinical features of both conditions include fever, headache, vomiting, and nuchal rigidity. […] Key diagnostic factors include rapid onset of signs and symptoms (acute septic CST), headache, fever, periorbital edema, chemosis and proptosis, lateral gaze palsy, ophthalmoplegia, and profound sepsis (acute septic CST). […] Other diagnostic factors include ptosis and mydriasis, papilledema and/or retinal-vein dilatation, decreased corneal reflex, hypo- or hyperesthesia in the distribution of the ophthalmic and maxillary nerves, mental state changes (e.g., confusion, drowsiness, coma), clinically detectable primary infection site, meningismus (nuchal rigidity, photophobia, and headache), positive Kernig or Brudzinski signs, seizures, and loss of visual acuity.
  • #35 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Cavernous sinus thrombosis is a rare blood clot that can form in response to an infection in your face or head. Its fatal in about 1 in 3 cases. Early symptoms include a severe headache, followed by swelling or bulging in one or both eyes. This condition requires immediate treatment. […] Cavernous sinus thrombosis can cause long-term damage to your brain, eyes and nerves. Without prompt treatment, it may result in death. […] One of the earliest symptoms of cavernous sinus thrombosis is a severe headache that gets worse even with pain medicine. The pain may feel sharp immediately or worsen over several days. The pain may feel especially pronounced around or behind one or both eyes. […] Symptoms are related to pressure build-up in your cavernous sinuses and can worsen rapidly. Signs to look for include: Severe, sharp headache. Bulging or swelling around one and then both eyes. Droopy eyelids. Pain when you try to move one or both eyes. Inability to move one or both eyes. Blurred vision. Seeing double. Facial numbness. Fever. Seizures.
  • #36 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    There may be associated features of intracranial pressure elevation: Vision changes, diplopia. Nausea, vomiting. Papilledema (30%). Cranial nerve 6 palsy (inability to abduct the eye). Encephalopathy. […] Hemiparesis is the most frequent (37% of patients). […] Seizures occur in 10-40% of all patients with CVT. […] Risk factors for seizure include: Supratentorial lesions with involvement of the cortex. Focal edema or infarcts (ischemic/hemorrhagic). Focal neurological deficits (eg., focal sensory deficits). […] Impaired drainage of CSF into the venous sinuses may lead to communicating hydrocephalus and thereby cause elevated intracranial pressure. […] Mortality is ~5%. Risk of permanent disability or death is ~15-20%. […] The most important factors appear to be: Coma or mental status disturbance. Thrombosis of the deep venous system. Intracerebral hemorrhage (i.e., hemorrhagic venous transformation).
  • #37
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #38 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #39 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #40 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #41 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #42
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #43 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #44 Cavernous Sinus Thrombosis – emDocs
    https://www.emdocs.net/cavernous-sinus-thrombosis/
    CST can present acutely or sub-acutely. Most patients will have fever, headache, proptosis, periorbital edema and/or chemosis. Most will also have external ophthalmoplegia, due to venous congestion of orbital tissues, extra-ocular muscle inflammation and/or inflammation of cranial nerves III, IV and VI (1,5,6,12). Other symptoms include eyelid erythema, autonomic dysfunction, sensory changes in the ophthalmic and maxillary trigeminal nerve distributions, pupillary abnormalities, and papilledema (1, 3, 4, 6). Vision loss is rare as the orbital nerve lies outside the cavernous sinus but it can occur via other mechanisms such as occlusion of the ICA, ophthalmic or central retinal arteries, orbital congestion, or arteritis (1,13). CST commonly spreads from one eye to both within 24 to 48 hours (4,6).
  • #45 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #46 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #47 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #48 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The early signs and symptoms of cavernous sinus thrombosis (CST) may not be specific. A patient who presents with headache and any cranial nerve findings should be potentially evaluated for CST. […] The clinical presentation is usually due to the venous obstruction as well as impairment of the cranial nerves that are near the cavernous sinus. […] Headache is the most common presentation symptom and usually precedes fevers, periorbital edema, and cranial nerve signs. The headache is usually sharp, increases progressively, and is usually localized to the regions innervated by the ophthalmic and maxillary branches of the fifth cranial nerve. […] As the infection tracts posteriorly, patients complain of orbital pain and fullness accompanied by periorbital edema and visual disturbances. […] Without effective therapy, signs appear in the contralateral eye by spreading through the communicating veins to the contralateral cavernous sinus. Eye swelling begins as a unilateral process and spreads to the other eye within 24-48 hours via the intercavernous sinuses. This is pathognomonic for CST.
  • #49 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #50 Cavernous sinus thrombosis – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/956
    Cavernous sinus thrombosis (CST) is a thrombus formation within the cavernous sinus, which may be either septic or aseptic in origin. […] In the acute presentation, one eye is typically affected first, followed by the second eye within 48 hours of symptom onset. […] Common early clinical features of both conditions include fever, headache, vomiting, and nuchal rigidity. […] Key diagnostic factors include rapid onset of signs and symptoms (acute septic CST), headache, fever, periorbital edema, chemosis and proptosis, lateral gaze palsy, ophthalmoplegia, and profound sepsis (acute septic CST). […] Other diagnostic factors include ptosis and mydriasis, papilledema and/or retinal-vein dilatation, decreased corneal reflex, hypo- or hyperesthesia in the distribution of the ophthalmic and maxillary nerves, mental state changes (e.g., confusion, drowsiness, coma), clinically detectable primary infection site, meningismus (nuchal rigidity, photophobia, and headache), positive Kernig or Brudzinski signs, seizures, and loss of visual acuity.
  • #51 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #52 Cavernous Sinus Syndromes – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532976/
    Cavernous sinus syndrome (CSS) is any disease process that affects the cavernous sinus. It presents as proptosis, chemosis, ophthalmoplegia, Horner syndrome or trigeminal sensory loss. […] Cavernous sinus syndrome is any disease process involving the CS. CCA is characterized by signs and symptoms resulting in ophthalmoplegia, chemosis, proptosis, Horner syndrome, or trigeminal sensory loss. […] Complaints that occur in different etiologies of SSC share common symptoms such as a headache (up to 90%), diplopia (up to 90%), painless or painful ophthalmoplegia, ptosis, proptosis, chemosis, facial sensory loss, visual loss, fever, facial asymmetry, hearing loss, and seizure. […] Physical exam findings depend on the etiology as well as the extent of CS involvement. The following sign(s) may be seen in patients with CCS: Involvement of cranial nerves with motor and/or sensory findings: the most common are CN III (85%), VI (70%), V1 and/or V2, and IV.
  • #53 Cavernous sinus thrombosis – Wikipedia
    https://en.wikipedia.org/wiki/Cavernous_sinus_thrombosis
    Cavernous sinus thrombosis symptoms include: decrease or loss of vision, chemosis, exophthalmos (bulging eyes), headaches, and paralysis of the cranial nerves which course through the cavernous sinus. […] Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (exophthalmos). […] Other common signs and symptoms include: Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). Sixth nerve palsy is the most common. Sensory deficits of the ophthalmic and maxillary branch of the fifth nerve are common. Periorbital sensory loss and impaired corneal reflex may be noted. Papilledema, retinal hemorrhages, and decreased visual acuity and blindness may occur from venous congestion within the retina. […] Infection can spread to contralateral cavernous sinus within 24-48 hours of initial presentation.
  • #54 Cavernous Sinus Syndromes – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532976/
    Cavernous sinus syndrome (CSS) is any disease process that affects the cavernous sinus. It presents as proptosis, chemosis, ophthalmoplegia, Horner syndrome or trigeminal sensory loss. […] Cavernous sinus syndrome is any disease process involving the CS. CCA is characterized by signs and symptoms resulting in ophthalmoplegia, chemosis, proptosis, Horner syndrome, or trigeminal sensory loss. […] Complaints that occur in different etiologies of SSC share common symptoms such as a headache (up to 90%), diplopia (up to 90%), painless or painful ophthalmoplegia, ptosis, proptosis, chemosis, facial sensory loss, visual loss, fever, facial asymmetry, hearing loss, and seizure. […] Physical exam findings depend on the etiology as well as the extent of CS involvement. The following sign(s) may be seen in patients with CCS: Involvement of cranial nerves with motor and/or sensory findings: the most common are CN III (85%), VI (70%), V1 and/or V2, and IV.
  • #55 Cavernous Sinus Syndromes – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532976/
    Cavernous sinus syndrome (CSS) is any disease process that affects the cavernous sinus. It presents as proptosis, chemosis, ophthalmoplegia, Horner syndrome or trigeminal sensory loss. […] Cavernous sinus syndrome is any disease process involving the CS. CCA is characterized by signs and symptoms resulting in ophthalmoplegia, chemosis, proptosis, Horner syndrome, or trigeminal sensory loss. […] Complaints that occur in different etiologies of SSC share common symptoms such as a headache (up to 90%), diplopia (up to 90%), painless or painful ophthalmoplegia, ptosis, proptosis, chemosis, facial sensory loss, visual loss, fever, facial asymmetry, hearing loss, and seizure. […] Physical exam findings depend on the etiology as well as the extent of CS involvement. The following sign(s) may be seen in patients with CCS: Involvement of cranial nerves with motor and/or sensory findings: the most common are CN III (85%), VI (70%), V1 and/or V2, and IV.
  • #56
    https://step2.medbullets.com/neurology/121848/cavernous-sinus-thrombosis
    A 24-year-old female presents with worsening headache, fever, and double vision. Her headache is located in the periorbital region. Medical history is significant for a left-sided mid-facial furuncle which she attempted to squeeze over one week prior. On physical exam, there is bilateral supraorbital edema, lateral gaze palsy, ptosis, mydriasis, and chemosis. […] Symptoms include fever, periorbital edema, and headache. […] Physical symptoms include cranial nerve palsies, which first involve CN VI as it runs through the middle of the sinus. […] Prognosis includes decreased mortality with antibiotic administration.
  • #57 Cavernous Sinus Syndromes – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532976/
    Cavernous sinus syndrome (CSS) is any disease process that affects the cavernous sinus. It presents as proptosis, chemosis, ophthalmoplegia, Horner syndrome or trigeminal sensory loss. […] Cavernous sinus syndrome is any disease process involving the CS. CCA is characterized by signs and symptoms resulting in ophthalmoplegia, chemosis, proptosis, Horner syndrome, or trigeminal sensory loss. […] Complaints that occur in different etiologies of SSC share common symptoms such as a headache (up to 90%), diplopia (up to 90%), painless or painful ophthalmoplegia, ptosis, proptosis, chemosis, facial sensory loss, visual loss, fever, facial asymmetry, hearing loss, and seizure. […] Physical exam findings depend on the etiology as well as the extent of CS involvement. The following sign(s) may be seen in patients with CCS: Involvement of cranial nerves with motor and/or sensory findings: the most common are CN III (85%), VI (70%), V1 and/or V2, and IV.
  • #58 Cavernous Sinus Syndromes – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532976/
    Cavernous sinus syndrome (CSS) is any disease process that affects the cavernous sinus. It presents as proptosis, chemosis, ophthalmoplegia, Horner syndrome or trigeminal sensory loss. […] Cavernous sinus syndrome is any disease process involving the CS. CCA is characterized by signs and symptoms resulting in ophthalmoplegia, chemosis, proptosis, Horner syndrome, or trigeminal sensory loss. […] Complaints that occur in different etiologies of SSC share common symptoms such as a headache (up to 90%), diplopia (up to 90%), painless or painful ophthalmoplegia, ptosis, proptosis, chemosis, facial sensory loss, visual loss, fever, facial asymmetry, hearing loss, and seizure. […] Physical exam findings depend on the etiology as well as the extent of CS involvement. The following sign(s) may be seen in patients with CCS: Involvement of cranial nerves with motor and/or sensory findings: the most common are CN III (85%), VI (70%), V1 and/or V2, and IV.
  • #59 Cavernous sinus thrombosis – Wikipedia
    https://en.wikipedia.org/wiki/Cavernous_sinus_thrombosis
    Cavernous sinus thrombosis symptoms include: decrease or loss of vision, chemosis, exophthalmos (bulging eyes), headaches, and paralysis of the cranial nerves which course through the cavernous sinus. […] Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (exophthalmos). […] Other common signs and symptoms include: Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). Sixth nerve palsy is the most common. Sensory deficits of the ophthalmic and maxillary branch of the fifth nerve are common. Periorbital sensory loss and impaired corneal reflex may be noted. Papilledema, retinal hemorrhages, and decreased visual acuity and blindness may occur from venous congestion within the retina. […] Infection can spread to contralateral cavernous sinus within 24-48 hours of initial presentation.
  • #60 Cavernous Sinus Thrombosis: Symptoms, Causes, Diagnosis, Treatment
    https://www.healthline.com/health/cavernous-sinus-thrombosis
    The symptoms of cavernous sinus thrombosis tend to show up about 5 to 10 days after you develop an infection on your face or in your head. […] Possible symptoms include: severe headache or facial pain, especially around your eyes; fever of 100.4F (38C) or above; blurred or double vision; eye muscle paralysis, leading to drooping eyelids or difficulty moving your eyes; protruding or swollen eye; swelling in or around eyelid; confusion; seizures. […] Cavernous sinus thrombosis is a very serious condition that can be life-threatening. However, it’s also relatively rare. If you’ve recently had a severe head injury or an infection in your head, keep an eye out for any of the symptoms listed above. […] The sooner you recognize the symptoms, the sooner you can start IV antibiotics and prevent the infection from spreading.
  • #61 Cavernous sinus thrombosis – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/956
    Cavernous sinus thrombosis (CST) is a thrombus formation within the cavernous sinus, which may be either septic or aseptic in origin. […] In the acute presentation, one eye is typically affected first, followed by the second eye within 48 hours of symptom onset. […] Common early clinical features of both conditions include fever, headache, vomiting, and nuchal rigidity. […] Key diagnostic factors include rapid onset of signs and symptoms (acute septic CST), headache, fever, periorbital edema, chemosis and proptosis, lateral gaze palsy, ophthalmoplegia, and profound sepsis (acute septic CST). […] Other diagnostic factors include ptosis and mydriasis, papilledema and/or retinal-vein dilatation, decreased corneal reflex, hypo- or hyperesthesia in the distribution of the ophthalmic and maxillary nerves, mental state changes (e.g., confusion, drowsiness, coma), clinically detectable primary infection site, meningismus (nuchal rigidity, photophobia, and headache), positive Kernig or Brudzinski signs, seizures, and loss of visual acuity.
  • #62 Cavernous Sinus Thrombosis – emDocs
    https://www.emdocs.net/cavernous-sinus-thrombosis/
    CST can present acutely or sub-acutely. Most patients will have fever, headache, proptosis, periorbital edema and/or chemosis. Most will also have external ophthalmoplegia, due to venous congestion of orbital tissues, extra-ocular muscle inflammation and/or inflammation of cranial nerves III, IV and VI (1,5,6,12). Other symptoms include eyelid erythema, autonomic dysfunction, sensory changes in the ophthalmic and maxillary trigeminal nerve distributions, pupillary abnormalities, and papilledema (1, 3, 4, 6). Vision loss is rare as the orbital nerve lies outside the cavernous sinus but it can occur via other mechanisms such as occlusion of the ICA, ophthalmic or central retinal arteries, orbital congestion, or arteritis (1,13). CST commonly spreads from one eye to both within 24 to 48 hours (4,6).
  • #63 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    The manifestations are variable and nonspecific. This reflects the varying location of thrombosis and its evolution over time (clots may extend or recanalize). […] There is a median of one week’s delay between initial presentation and diagnosis. Evolution may occur acutely, subacutely (over several days), or chronically (over more than a month). […] Different patients can present with a variety of chief complaints, including: Headache. Focal neurologic findings. Seizure. Encephalopathy. […] Perhaps the most common chief complaint, with headache reported in ~88% of patients. This is often the first symptom. If untreated, the thrombus may extend and patients will accrue additional symptoms. […] Pain usually starts gradually (although it may occasionally cause a thunderclap headache, especially if CVT leads to a secondary subarachnoid hemorrhage).
  • #64 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    The manifestations are variable and nonspecific. This reflects the varying location of thrombosis and its evolution over time (clots may extend or recanalize). […] There is a median of one week’s delay between initial presentation and diagnosis. Evolution may occur acutely, subacutely (over several days), or chronically (over more than a month). […] Different patients can present with a variety of chief complaints, including: Headache. Focal neurologic findings. Seizure. Encephalopathy. […] Perhaps the most common chief complaint, with headache reported in ~88% of patients. This is often the first symptom. If untreated, the thrombus may extend and patients will accrue additional symptoms. […] Pain usually starts gradually (although it may occasionally cause a thunderclap headache, especially if CVT leads to a secondary subarachnoid hemorrhage).
  • #65
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/symptoms/
    The most common initial symptom of cavernous sinus thrombosis is a headache. […] Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after, red eyes, eye pain which can be severe, vision problems such as double vision or blurred vision, difficulty moving the eyes, drooping of the eyelids. […] Other symptoms of cavernous sinus thrombosis include: a high temperature, vomiting, seizures (fits), changes in mental state, such as feeling very confused. […] These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. […] Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma.
  • #66 Cavernous Sinus Thrombosis Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/791704-clinical
    The patient rapidly develops mental status changes including confusion, drowsiness, and coma from CNS involvement and/or sepsis. Death follows shortly thereafter. […] Other than the findings associated with the primary infection, the following signs are typical for cavernous sinus thrombosis: Periorbital edema may be the earliest physical finding. […] Appearance of signs and symptoms in the contralateral eye is diagnostic of CST, although the process may remain confined to one eye. […] Systemic signs indicative of sepsis are late findings. They include chills, fever, shock, delirium, and coma.
  • #67 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #68 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #69 Cavernous Sinus Thrombosis – emDocs
    https://www.emdocs.net/cavernous-sinus-thrombosis/
    Even with appropriate treatment, the complications of CST can be devastating and mortality still remains high at 20-30% (6,7). In addition, nearly half of patients have residual sequelae including cranial nerve lesions, weakness of extraocular muscles, impaired vision, hemiparesis, or hypopituitarism (5,6,13,18). Because of the high mortality and devastating consequences of CST, physicians need to keep a high level of suspicion for the condition, image liberally, and administer antibiotics as soon as possible.
  • #70 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    There may be associated features of intracranial pressure elevation: Vision changes, diplopia. Nausea, vomiting. Papilledema (30%). Cranial nerve 6 palsy (inability to abduct the eye). Encephalopathy. […] Hemiparesis is the most frequent (37% of patients). […] Seizures occur in 10-40% of all patients with CVT. […] Risk factors for seizure include: Supratentorial lesions with involvement of the cortex. Focal edema or infarcts (ischemic/hemorrhagic). Focal neurological deficits (eg., focal sensory deficits). […] Impaired drainage of CSF into the venous sinuses may lead to communicating hydrocephalus and thereby cause elevated intracranial pressure. […] Mortality is ~5%. Risk of permanent disability or death is ~15-20%. […] The most important factors appear to be: Coma or mental status disturbance. Thrombosis of the deep venous system. Intracerebral hemorrhage (i.e., hemorrhagic venous transformation).
  • #71 How to Spot and Treat Cerebral Venous Sinus Thrombosis – ACEP Now
    https://www.acepnow.com/article/spot-treat-cerebral-venous-sinus-thrombosis/
    Predictors of mortality at 30 days are depressed consciousness, altered mental status, thrombosis of the deep venous system, right hemispheric hemorrhage, and posterior fossa lesions. […] Recanalization occurs in 40 percent to 90 percent of cases, most within four months. The highest rates are in deep cerebral veins and cavernous sinuses. The lowest rates are seen in the transverse or lateral sinuses.
  • #72 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    There may be associated features of intracranial pressure elevation: Vision changes, diplopia. Nausea, vomiting. Papilledema (30%). Cranial nerve 6 palsy (inability to abduct the eye). Encephalopathy. […] Hemiparesis is the most frequent (37% of patients). […] Seizures occur in 10-40% of all patients with CVT. […] Risk factors for seizure include: Supratentorial lesions with involvement of the cortex. Focal edema or infarcts (ischemic/hemorrhagic). Focal neurological deficits (eg., focal sensory deficits). […] Impaired drainage of CSF into the venous sinuses may lead to communicating hydrocephalus and thereby cause elevated intracranial pressure. […] Mortality is ~5%. Risk of permanent disability or death is ~15-20%. […] The most important factors appear to be: Coma or mental status disturbance. Thrombosis of the deep venous system. Intracerebral hemorrhage (i.e., hemorrhagic venous transformation).
  • #73 How to Spot and Treat Cerebral Venous Sinus Thrombosis – ACEP Now
    https://www.acepnow.com/article/spot-treat-cerebral-venous-sinus-thrombosis/
    Predictors of mortality at 30 days are depressed consciousness, altered mental status, thrombosis of the deep venous system, right hemispheric hemorrhage, and posterior fossa lesions. […] Recanalization occurs in 40 percent to 90 percent of cases, most within four months. The highest rates are in deep cerebral veins and cavernous sinuses. The lowest rates are seen in the transverse or lateral sinuses.
  • #74 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    There may be associated features of intracranial pressure elevation: Vision changes, diplopia. Nausea, vomiting. Papilledema (30%). Cranial nerve 6 palsy (inability to abduct the eye). Encephalopathy. […] Hemiparesis is the most frequent (37% of patients). […] Seizures occur in 10-40% of all patients with CVT. […] Risk factors for seizure include: Supratentorial lesions with involvement of the cortex. Focal edema or infarcts (ischemic/hemorrhagic). Focal neurological deficits (eg., focal sensory deficits). […] Impaired drainage of CSF into the venous sinuses may lead to communicating hydrocephalus and thereby cause elevated intracranial pressure. […] Mortality is ~5%. Risk of permanent disability or death is ~15-20%. […] The most important factors appear to be: Coma or mental status disturbance. Thrombosis of the deep venous system. Intracerebral hemorrhage (i.e., hemorrhagic venous transformation).
  • #75 How to Spot and Treat Cerebral Venous Sinus Thrombosis – ACEP Now
    https://www.acepnow.com/article/spot-treat-cerebral-venous-sinus-thrombosis/
    Predictors of mortality at 30 days are depressed consciousness, altered mental status, thrombosis of the deep venous system, right hemispheric hemorrhage, and posterior fossa lesions. […] Recanalization occurs in 40 percent to 90 percent of cases, most within four months. The highest rates are in deep cerebral veins and cavernous sinuses. The lowest rates are seen in the transverse or lateral sinuses.
  • #76 Cerebral venous thrombosis (CVT) – EMCrit Project
    https://emcrit.org/ibcc/cvt/
    There may be associated features of intracranial pressure elevation: Vision changes, diplopia. Nausea, vomiting. Papilledema (30%). Cranial nerve 6 palsy (inability to abduct the eye). Encephalopathy. […] Hemiparesis is the most frequent (37% of patients). […] Seizures occur in 10-40% of all patients with CVT. […] Risk factors for seizure include: Supratentorial lesions with involvement of the cortex. Focal edema or infarcts (ischemic/hemorrhagic). Focal neurological deficits (eg., focal sensory deficits). […] Impaired drainage of CSF into the venous sinuses may lead to communicating hydrocephalus and thereby cause elevated intracranial pressure. […] Mortality is ~5%. Risk of permanent disability or death is ~15-20%. […] The most important factors appear to be: Coma or mental status disturbance. Thrombosis of the deep venous system. Intracerebral hemorrhage (i.e., hemorrhagic venous transformation).
  • #77 How to Spot and Treat Cerebral Venous Sinus Thrombosis – ACEP Now
    https://www.acepnow.com/article/spot-treat-cerebral-venous-sinus-thrombosis/
    Predictors of mortality at 30 days are depressed consciousness, altered mental status, thrombosis of the deep venous system, right hemispheric hemorrhage, and posterior fossa lesions. […] Recanalization occurs in 40 percent to 90 percent of cases, most within four months. The highest rates are in deep cerebral veins and cavernous sinuses. The lowest rates are seen in the transverse or lateral sinuses.
  • #78 Cerebral Venous Thrombosis
    https://emed.ie/Neurological/Headache/Cerebral_Venous_Thrombosis.php
    Majority make a full recovery (if treated early) […] 10- 30% die (mainly ICP with herniation in delayed Dx) […] Headache (thunderclap), ICP (NV) […] ICP = vomiting, papilloedema […] May present with progressive headache or ocular / bulbar symptoms (cavernous sinus clot): Ocular symptoms, Pulsatile tinnitus, Unilateral deafness, Facial N. lesion […] Occasionally bilateral lower limb weakness […] Altered mental status […] Cranial nerve palsy […] Papilloedema / retinal haemorrhages […] Focal long tract signs […] Mortality is 5-15%.
  • #79 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #80 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #81 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #82 Cavernous Sinus Thrombosis – Eye Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/eye-disorders/eye-socket-disorders/cavernous-sinus-thrombosis
    Cavernous sinus thrombosis causes symptoms such as […] Symptoms include head and facial pain, visual disturbances, rapidly bulging eyes, and high fever. […] If bacteria spread to the brain, more severe drowsiness, seizures, coma, and abnormal sensations or muscle weakness in certain areas may develop. […] Even with antibiotic treatment, cavernous sinus thrombosis can still be life threatening. About 15% of all affected people die. Another third of people develop serious aftereffects such as impaired eye movements and double vision, blindness, stroke, and symptoms due to decreased levels of hormones from the pituitary gland (hypopituitarism), which may be permanent.
  • #83 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #84 Cavernous Sinus Thrombosis – Eye Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/eye-disorders/eye-socket-disorders/cavernous-sinus-thrombosis
    Cavernous sinus thrombosis causes symptoms such as […] Symptoms include head and facial pain, visual disturbances, rapidly bulging eyes, and high fever. […] If bacteria spread to the brain, more severe drowsiness, seizures, coma, and abnormal sensations or muscle weakness in certain areas may develop. […] Even with antibiotic treatment, cavernous sinus thrombosis can still be life threatening. About 15% of all affected people die. Another third of people develop serious aftereffects such as impaired eye movements and double vision, blindness, stroke, and symptoms due to decreased levels of hormones from the pituitary gland (hypopituitarism), which may be permanent.
  • #85 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #86
    https://111.wales.nhs.uk/cavernoussinusthrombosis/
    Other symptoms of cavernous sinus thrombosis include: a high temperature; vomiting; seizures (fits); changes in mental state, such as feeling very confused. These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma. […] Up to 1 in 3 people with cavernous sinus thrombosis may die. Some people who survive it are left with ongoing symptoms such as seizures (fits) and severe headaches. It can also cause further problems with vision, blood clots and infections.
  • #87 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #88
    https://111.wales.nhs.uk/cavernoussinusthrombosis/
    Other symptoms of cavernous sinus thrombosis include: a high temperature; vomiting; seizures (fits); changes in mental state, such as feeling very confused. These symptoms usually occur if cavernous sinus thrombosis is left untreated, or if an infection causing the condition spreads throughout the body. Without treatment, most people with cavernous sinus thrombosis will become increasingly drowsy and eventually fall into a coma. […] Up to 1 in 3 people with cavernous sinus thrombosis may die. Some people who survive it are left with ongoing symptoms such as seizures (fits) and severe headaches. It can also cause further problems with vision, blood clots and infections.
  • #89 Cavernous Sinus Thrombosis – emDocs
    https://www.emdocs.net/cavernous-sinus-thrombosis/
    Even with appropriate treatment, the complications of CST can be devastating and mortality still remains high at 20-30% (6,7). In addition, nearly half of patients have residual sequelae including cranial nerve lesions, weakness of extraocular muscles, impaired vision, hemiparesis, or hypopituitarism (5,6,13,18). Because of the high mortality and devastating consequences of CST, physicians need to keep a high level of suspicion for the condition, image liberally, and administer antibiotics as soon as possible.
  • #90 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #91 Cavernous sinus thrombosis: Treatment, causes, and more
    https://www.medicalnewstoday.com/articles/cavernous-sinus-thrombosis
    The blood clot and infection within the cavernous sinuses can spread to adjacent structures, forming abscesses. […] Additionally, the infection can extend to the meninges, which are the protective membranes covering the brain and spinal cord, leading to meningitis, a potentially serious condition. […] In rare instances, the blood clot can extend to other blood vessels, causing an embolism or a blockage that may result in a stroke. […] Most individuals with CST who receive prompt diagnosis and treatment show significant improvement and resolution of symptoms, with a mortality rate of less than 20%. […] Severe headaches, eye pain, and visual disturbances often improve with appropriate treatment. […] However, complications, such as abscess formation or the spread of infection to other structures, can complicate the outlook.
  • #92 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #93 Cavernous sinus thrombosis: Treatment, causes, and more
    https://www.medicalnewstoday.com/articles/cavernous-sinus-thrombosis
    The blood clot and infection within the cavernous sinuses can spread to adjacent structures, forming abscesses. […] Additionally, the infection can extend to the meninges, which are the protective membranes covering the brain and spinal cord, leading to meningitis, a potentially serious condition. […] In rare instances, the blood clot can extend to other blood vessels, causing an embolism or a blockage that may result in a stroke. […] Most individuals with CST who receive prompt diagnosis and treatment show significant improvement and resolution of symptoms, with a mortality rate of less than 20%. […] Severe headaches, eye pain, and visual disturbances often improve with appropriate treatment. […] However, complications, such as abscess formation or the spread of infection to other structures, can complicate the outlook.
  • #94 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #95 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #96 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #97 Cavernous sinus thrombosis: Treatment, causes, and more
    https://www.medicalnewstoday.com/articles/cavernous-sinus-thrombosis
    The blood clot and infection within the cavernous sinuses can spread to adjacent structures, forming abscesses. […] Additionally, the infection can extend to the meninges, which are the protective membranes covering the brain and spinal cord, leading to meningitis, a potentially serious condition. […] In rare instances, the blood clot can extend to other blood vessels, causing an embolism or a blockage that may result in a stroke. […] Most individuals with CST who receive prompt diagnosis and treatment show significant improvement and resolution of symptoms, with a mortality rate of less than 20%. […] Severe headaches, eye pain, and visual disturbances often improve with appropriate treatment. […] However, complications, such as abscess formation or the spread of infection to other structures, can complicate the outlook.
  • #98 Cavernous Sinus Thrombosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448177/
    Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. As many as 50% of survivors might have sequelae, most commonly third or sixth nerve palsy. Other complications can include sepsis, meningitis, subdural empyema, brain abscess, blindness, panhypopituitarism, intracranial hypertension, infectious arteritis or mycotic aneurysm of the internal carotid artery, vasospasm, septic emboli, stroke from carotid narrowing, cortical vein thrombosis or hemorrhagic infarction, coma, and death. Mortality rates as high as 80% in the era before antibiotics have diminished to below 8% to 13%.
  • #99 Cavernous Sinus Thrombosis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/23520-cavernous-sinus-thrombosis
    Untreated cavernous thrombosis worsens until symptoms progress to confusion and sleepiness. A coma and death often follow. Its crucial to receive treatment before the condition reaches this point. […] Cavernous sinus thrombosis may show up five to 10 days after having an untreated infection in your face or skull. The first sign of a clot is usually a headache. Symptoms related to your eyes (bulging, swelling) may happen shortly after the headache or gradually develop. […] Before antibiotics, cavernous sinus thrombosis nearly always resulted in death. Now, more than 70% of people with cavernous sinus thrombosis survive. […] Still, many people experience complications. For instance, just under 20% of people who survive cavernous sinus thrombosis have vision problems and nerve damage. Other complications include: Frequent headaches. Vision loss in one or both eyes. Seizures. Meningitis. Sepsis. […] Having cavernous sinus thrombosis may lead to other dangerous clots, like clots in your legs (deep vein thrombosis), lungs (pulmonary embolism) or brain (stroke).
  • #100 Cavernous Sinus Thrombosis – Eye Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/eye-disorders/eye-socket-disorders/cavernous-sinus-thrombosis
    Cavernous sinus thrombosis causes symptoms such as […] Symptoms include head and facial pain, visual disturbances, rapidly bulging eyes, and high fever. […] If bacteria spread to the brain, more severe drowsiness, seizures, coma, and abnormal sensations or muscle weakness in certain areas may develop. […] Even with antibiotic treatment, cavernous sinus thrombosis can still be life threatening. About 15% of all affected people die. Another third of people develop serious aftereffects such as impaired eye movements and double vision, blindness, stroke, and symptoms due to decreased levels of hormones from the pituitary gland (hypopituitarism), which may be permanent.
  • #101 A Case Report of Cavernous Sinus Thrombosis in a 40-year-old pati
    https://www.iomcworld.org/open-access/a-case-report-of-cavernous-sinus-thrombosis-in-a-40yearold-patient-with-adenocarcinoma-of-unknown-primary-origin-93505.html
    We herein report a case of bilateral Cavernous Sinus Thrombosis in a 40-yearold male in the setting of nasopharyngeal adenocarcinoma of unknown primary origin. Cavernous Sinus Thrombosis presents with an abrupt onset of unilateral periorbital edema, headache, photophobia and bulging of the eye. Other common presenting symptoms include ptosis, chemosis and cranial nerve palsies. […] Our patient had aggressive occult malignancy with disseminated metastasis and he presented primarily with symptoms of CST. Diagnosis of Cavernous Sinus Thrombosis is quite challenging and requires a deeper understanding of the disease process and a high index of clinical suspicion, as these patients do not always present with classical symptoms, making it more challenging. […] A 40-year-old male presented, before hospitalization, with symptoms of double vision for 10 days, left-sided headache for 7 days, and ptosis of the left eye for 7 days.
  • #102
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    In very rare cases, cavernous sinus thrombosis can occur after having some types of coronavirus (COVID-19) vaccine. If this happens, symptoms can appear between 4 days and 4 weeks after vaccination. […] Several weeks of antibiotic treatment are usually necessary to ensure the infection has cleared. However, it can take a long time to recover fully, and it may be several months before you’re well enough to leave hospital.
  • #103 Neurovascular Behçet’s Disease Presenting with Cavernous Sinus Thrombosis: A Rare Case of Assumed Tolosa-Hunt-Like Syndrome | Volume 35 – Issue 1 – March 2020 | Archives of Rheumatology
    https://www.archivesofrheumatology.org/full-text/1064
    Behets disease (BD) is characterized by recurrent orogenital ulcers, uveitis and various neutrophilic dermatoses. […] Approximately 5 to 6% of all BD cases manifest various neurological symptoms. […] The prevalence of cerebral venous sinus thrombosis (CVST) in BD is 8%, which corresponds to 18% of neurovascular BD (neuro-BD). […] However, cavernous sinus thrombosis occurs in only 2.9% of patients with CVST. […] Our patient showed limitation of inferior rectus movement, and therefore, was suspected of oculomotor nerve involvement due to thrombosis as a complication associated with BD. […] The prevalence of neurological manifestations in patients with BD varies between 5% and 30%. […] Our case manifesting neuro-BD, presented with CVST. […] Tolosa-Hunt syndrome is characterized by painful ophthalmoplegia with recurrent unilateral orbital pain and ipsilateral third, fourth and/or sixth cranial palsies, promptly resolved by corticosteroids. […] In conclusion, we experienced the first case of cavernous sinus thrombosis as a complication of BD with very rare neurological symptoms mimicking THS such as ophthalmoplegia, ipsilateral headache and diplopia treated with corticosteroids.
  • #104 Rhino-orbitocerebral Mucormycosis Associated with Cavernous Sinus Thrombosis: Case Report
    https://arquivosdeorl.org.br/additional/acervo_eng.asp?id=575
    Mucormycosis is a rare opportunistic infection caused by Mucorales fungi, and the Rhizopus is the most common one (70% of the cases). […] The initial symptoms of Cavernous Sinus Thrombosis are headache, retro-orbital pain, periorbital edema, proptosis, diplopia and reduced vision. […] The initial complaints of the Cavernous Sinus Thrombosis are of retro-orbital pain, periorbital edema, chemosis, proptosis, palpebral ptosis and diplopia. […] The CST occurs mostly due to the infections in the paranasal sinuses, mainly the ethmoid and the sphenoid ones. […] The early visual loss favors the suspicion of the retina artery commitment by Mucormycosis, but the amaurosis caused by the CST occurs more lately.
  • #105 Rhino-orbitocerebral Mucormycosis Associated with Cavernous Sinus Thrombosis: Case Report
    https://arquivosdeorl.org.br/additional/acervo_eng.asp?id=575
    Mucormycosis is a rare opportunistic infection caused by Mucorales fungi, and the Rhizopus is the most common one (70% of the cases). […] The initial symptoms of Cavernous Sinus Thrombosis are headache, retro-orbital pain, periorbital edema, proptosis, diplopia and reduced vision. […] The initial complaints of the Cavernous Sinus Thrombosis are of retro-orbital pain, periorbital edema, chemosis, proptosis, palpebral ptosis and diplopia. […] The CST occurs mostly due to the infections in the paranasal sinuses, mainly the ethmoid and the sphenoid ones. […] The early visual loss favors the suspicion of the retina artery commitment by Mucormycosis, but the amaurosis caused by the CST occurs more lately.
  • #106 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1091891
    In the Department of Oral and Maxillofacial Surgery, patients with trismus can be easily identified. If the cause of trismus is infection of the masticatory space near the pterygoid plexus, the possibility of cavernous sinus thrombosis should be considered. […] We report the case of a patient who presented with limited mouth opening and progressed to cavernous sinus thrombosis, along with a review of the relevant literature. […] A 55-year-old male visited our department with a chief complaint of limited mouth opening, which began suddenly on August 13, 2013. […] The initial clinical symptom was the limitation of mouth opening, however, the infection was assumed to be from an odontogenic source. […] The infection was thought to originate around the pterygoid muscle, since trismus preceded orbital symptoms.
  • #107 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1091891
    In summary, CST is a rare disease that can cause life threatening complications. Infections of the pterygoid plexus from an odontogenic source can present as trismus, and clinicians should consider the potential for progression to CST. Prompt diagnosis and appropriate treatment are essential for preventing serious complications.
  • #108 Dynamic Evolution of Catatonia in the Context of Cerebral Venous Sinus Thrombosis
    https://www.psychiatrist.com/pcc/dynamic-evolution-catatonia-context-cerebral-venous-sinus-thrombosis/
    In this report, we present the case of a 70-year-old woman who presented with symptoms of catatonia that were refractory to traditional treatment. She was found to have a cerebral venous sinus thrombosis (CVST), which most likely contributed to her presentation. […] Ms C was placed on a heparin drip, and intravenous (IV) lorazepam was administered (initially at 0.5 mg 3 times daily and then increased up to 1.75 mg 3 times daily) for agitation and a presumptive diagnosis of catatonia. Over the next 2 weeks, her condition continued to deteriorate. She stopped eating and was unable to swallow pills; this required placement of a nasogastric tube. […] Since several suspected causes of her presentation had been ruled out after a month-long hospital stay, the remaining most plausible diagnosis was of secondary catatonia associated with a subacute hemorrhagic stroke and CVST.
  • #109 Dynamic Evolution of Catatonia in the Context of Cerebral Venous Sinus Thrombosis
    https://www.psychiatrist.com/pcc/dynamic-evolution-catatonia-context-cerebral-venous-sinus-thrombosis/
    While the underlying CVST and hemorrhagic stroke that likely contributed to Ms Cs catatonia were being addressed by heparin, methylprednisolone, and consideration of IVIG and plasmapheresis, the treatment team also attempted to alleviate her catatonic symptoms. […] An additional MRI scan obtained 2 weeks before discharge failed to demonstrate a significant resolution of the thrombus. Remarkably, 1 day prior to her hospital discharge Ms C became more responsive and was able to interact and answer questions. At discharge, she was oriented to self, but she still required reorientation to location, time, and situation with no apparent memory of the previous events. […] Ms C presented with CVST and catatonia but without systemic lupus erythematosus (SLE) or a recognizable autoimmune encephalitis. This is an infrequently reported combination, and it is not a widely reported potential neuro-medical cause of catatonia. […] If a secondary (nonpsychiatric) etiology of catatonia is suspected, a neuro-medical workup (including head imaging) is typically warranted, and depending on the clinical suspicion, we suggest ruling out CVST.
  • #110 Cavernous Sinus Thrombosis: Symptoms and Treatment
    https://www.medicoverhospitals.in/diseases/cavernous-sinus-thrombosis/
    Cavernous sinus thrombosis (CST) is a rare but serious condition characterized by the formation of a blood clot in the cavernous sinus, a large vein located at the base of the brain. This condition can be life-threatening and requires immediate medical attention. […] The symptoms of cavernous sinus thrombosis can vary widely, but they often include: […] Headaches are one of the most common symptoms of CST. These headaches are typically severe and persistent. They may be accompanied by pain behind the eyes or in the forehead. […] Patients with CST often experience a range of eye-related symptoms, including: […] As CST affects the central nervous system, it can lead to various neurological symptoms such as: […] Other symptoms that may be present in cases of CST include: […] In adults, CST is often associated with sinus or dental infections. The symptoms may be more pronounced, and the risk of complications such as vision loss and neurological deficits is higher. Prompt diagnosis and treatment are crucial to prevent long-term damage.
  • #111 Cerebral Venous Thrombosis (CVT) in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/cerebral-venous-thrombosis
    The signs and symptoms of CVT can vary depending on a childs age. In newborns, CVT typically causes seizures, irritability, and extreme sleepiness. […] Children and adolescents with CVT tend to experience additional symptoms. These usually occur together and get worse as time passes: Severe headaches, which may cause nausea and vomiting, Dizziness or lightheadedness, Vision problems, Weakness on one side of the body, Progressive decline in mental status, Seizures.
  • #112 Cerebral Venous Thrombosis (CVT) in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/cerebral-venous-thrombosis
    The signs and symptoms of CVT can vary depending on a childs age. In newborns, CVT typically causes seizures, irritability, and extreme sleepiness. […] Children and adolescents with CVT tend to experience additional symptoms. These usually occur together and get worse as time passes: Severe headaches, which may cause nausea and vomiting, Dizziness or lightheadedness, Vision problems, Weakness on one side of the body, Progressive decline in mental status, Seizures.
  • #113 Cerebral Venous Thrombosis (CVT) in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/cerebral-venous-thrombosis
    The signs and symptoms of CVT can vary depending on a childs age. In newborns, CVT typically causes seizures, irritability, and extreme sleepiness. […] Children and adolescents with CVT tend to experience additional symptoms. These usually occur together and get worse as time passes: Severe headaches, which may cause nausea and vomiting, Dizziness or lightheadedness, Vision problems, Weakness on one side of the body, Progressive decline in mental status, Seizures.
  • #114 Cavernous Sinus Thrombosis: Symptoms and Treatment
    https://www.medicoverhospitals.in/diseases/cavernous-sinus-thrombosis/
    Cavernous sinus thrombosis (CST) is a rare but serious condition characterized by the formation of a blood clot in the cavernous sinus, a large vein located at the base of the brain. This condition can be life-threatening and requires immediate medical attention. […] The symptoms of cavernous sinus thrombosis can vary widely, but they often include: […] Headaches are one of the most common symptoms of CST. These headaches are typically severe and persistent. They may be accompanied by pain behind the eyes or in the forehead. […] Patients with CST often experience a range of eye-related symptoms, including: […] As CST affects the central nervous system, it can lead to various neurological symptoms such as: […] Other symptoms that may be present in cases of CST include: […] In adults, CST is often associated with sinus or dental infections. The symptoms may be more pronounced, and the risk of complications such as vision loss and neurological deficits is higher. Prompt diagnosis and treatment are crucial to prevent long-term damage.
  • #115 Cavernous Sinus Thrombosis: Symptoms and Treatment
    https://www.medicoverhospitals.in/diseases/cavernous-sinus-thrombosis/
    One of the most severe complications of CST is vision loss, which can occur due to pressure on the optic nerves. […] The prognosis for individuals with CST varies depending on the severity of the condition and the promptness of treatment. With early diagnosis and appropriate treatment, many individuals can recover fully. However, some may experience long-term complications, particularly if the condition was not promptly treated.
  • #116 A Case Report of Cavernous Sinus Thrombosis in a 40-year-old pati
    https://www.iomcworld.org/open-access/a-case-report-of-cavernous-sinus-thrombosis-in-a-40yearold-patient-with-adenocarcinoma-of-unknown-primary-origin-93505.html
    He developed a headache 7 days before hospitalization which was sudden in onset, gradually progressive, unilateral, and pulsatile, involving the temple region. It was associated with blurring of vision, not associated with photophobia, phonophobia, nausea, or vomiting. He also developed drooping of the left eyelid 7 days before hospitalization. Initially, the drooping was partial but it progressed to the stage where the eyelid completely closed the eyeball and the patient used his hands to lift the eyelid. […] Two days after admission, right eye also developed ptosis and absent pupil reflexes. […] CT Brain at the time of admission showed swollen left cavernous sinus, convexity of the lateral wall, asymmetry, and exophthalmos. […] Initially, non-contrast CT was done on the patient and the findings revealed evidence of hyperdense left cavernous sinus. Evidence of soft tissue mucosal thickening was noted in the sphenoid sinus and mild atrophy of the parasagittal, parietal and occipital lobes of the left cerebral hemisphere, likely due to cavernous sinus thrombosis. […] The patient received empiric antibiotics and anticoagulants immediately after CT confirmation of CST. […] CST in the setting of malignancy is very rare and there are very few cases reported in the literature.
  • #117
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #118 Cavernous Sinus Thrombosis: Symptoms, Causes, Diagnosis, Treatment
    https://www.healthline.com/health/cavernous-sinus-thrombosis
    The symptoms of cavernous sinus thrombosis tend to show up about 5 to 10 days after you develop an infection on your face or in your head. […] Possible symptoms include: severe headache or facial pain, especially around your eyes; fever of 100.4F (38C) or above; blurred or double vision; eye muscle paralysis, leading to drooping eyelids or difficulty moving your eyes; protruding or swollen eye; swelling in or around eyelid; confusion; seizures. […] Cavernous sinus thrombosis is a very serious condition that can be life-threatening. However, it’s also relatively rare. If you’ve recently had a severe head injury or an infection in your head, keep an eye out for any of the symptoms listed above. […] The sooner you recognize the symptoms, the sooner you can start IV antibiotics and prevent the infection from spreading.
  • #119
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #120
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #121
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #122
    https://www.nhs.uk/conditions/cavernous-sinus-thrombosis/
    Symptoms of cavernous sinus thrombosis include: […] a sharp and severe headache, particularly around the eye […] swelling and bulging of the eye(s) and the surrounding tissues […] eye pain that’s often severe […] double vision […] a high temperature. […] Call 111 immediately if you experience: […] a severe headache that is not relieved with painkillers or is getting worse […] a headache that feels worse when you lie down or bend over […] a headache that’s unusual for you and occurs with blurred vision, feeling or being sick, problems speaking, weakness, drowsiness or seizures (fits) […] eye pain or swelling of one or both eyes […] a rash that looks like small bruises or bleeding under the skin […] shortness of breath, chest pain, leg swelling or persistent abdominal (tummy) pain.
  • #123 Droopy Eyelids (Cavernous Sinus Thrombosis) – Symptoms & Treatment | Carle.org
    https://carle.org/conditions/neurological-conditions/droopy-eyelids
    Symptoms include reduced vision or loss of vision, drooping eyelid, bulging eyeballs, and suddenly being unable to move the eye in a certain direction. […] Cavernous sinus thrombosis can be a life-threatening, rapidly progressive infection. It can be fatal even after antibiotic treatment. […] DO call your health care provider if you see bulging of the eye or droopy eyelids. […] DO call your health care provider if you cannot move the eye in a certain direction.
  • #124 Droopy Eyelids (Cavernous Sinus Thrombosis) – Symptoms & Treatment | Carle.org
    https://carle.org/conditions/neurological-conditions/droopy-eyelids
    Symptoms include reduced vision or loss of vision, drooping eyelid, bulging eyeballs, and suddenly being unable to move the eye in a certain direction. […] Cavernous sinus thrombosis can be a life-threatening, rapidly progressive infection. It can be fatal even after antibiotic treatment. […] DO call your health care provider if you see bulging of the eye or droopy eyelids. […] DO call your health care provider if you cannot move the eye in a certain direction.
  • #125 Droopy Eyelids (Cavernous Sinus Thrombosis) – Symptoms & Treatment | Carle.org
    https://carle.org/conditions/neurological-conditions/droopy-eyelids
    Symptoms include reduced vision or loss of vision, drooping eyelid, bulging eyeballs, and suddenly being unable to move the eye in a certain direction. […] Cavernous sinus thrombosis can be a life-threatening, rapidly progressive infection. It can be fatal even after antibiotic treatment. […] DO call your health care provider if you see bulging of the eye or droopy eyelids. […] DO call your health care provider if you cannot move the eye in a certain direction.
  • #126
    https://111.wales.nhs.uk/cavernoussinusthrombosis/
    Cavernous sinus thrombosis is a blood clot in the cavernous sinuses. It can be life-threatening. […] Symptoms of cavernous sinus thrombosis include: a sharp and severe headache, particularly around the eye; swelling and bulging of the eye(s) and the surrounding tissues; eye pain that’s often severe; double vision; a high temperature. […] The most common initial symptom of cavernous sinus thrombosis is a headache. This usually develops as a sharp pain located behind or around the eyes that steadily gets worse over time. Symptoms often start within 5 to 10 days of developing an infection in the face or skull, such as sinusitis or a boil. It can be several days, or even weeks, before additional symptoms develop after the headache starts. […] In most cases of cavernous sinus thrombosis, the eyes are affected. You may experience: swelling and bulging of the eyes this usually starts in one eye and spreads to the other eye soon after; red eyes; eye pain which can be severe; vision problems such as double vision or blurred vision; difficulty moving the eyes; drooping of the eyelids.
  • #127 Cavernous Sinus Thrombosis: Symptoms, Causes, Diagnosis, Treatment
    https://www.healthline.com/health/cavernous-sinus-thrombosis
    The symptoms of cavernous sinus thrombosis tend to show up about 5 to 10 days after you develop an infection on your face or in your head. […] Possible symptoms include: severe headache or facial pain, especially around your eyes; fever of 100.4F (38C) or above; blurred or double vision; eye muscle paralysis, leading to drooping eyelids or difficulty moving your eyes; protruding or swollen eye; swelling in or around eyelid; confusion; seizures. […] Cavernous sinus thrombosis is a very serious condition that can be life-threatening. However, it’s also relatively rare. If you’ve recently had a severe head injury or an infection in your head, keep an eye out for any of the symptoms listed above. […] The sooner you recognize the symptoms, the sooner you can start IV antibiotics and prevent the infection from spreading.
  • #128 Subacute Cavernous Sinus Thrombosis following a Dental Procedure: Case Report and Review of the Literature
    https://institutionalrepository.aah.org/cardio/319/
    Cavernous Sinus Thrombosis is a rare but serious condition. […] The case describes a 62year old female with a 5 month history of left upper eyelid swelling, diplopia, chemosis, ptosis, and left sided cluster headache who was diagnosed with subacute cavernous sinus thrombosis treated with oral anticoagulation. […] Not all cases of CST present typically and acutely, so it is advisable to have a high clinical suspicion and obtain an MRV to rule out CST when stumbling upon ocular symptoms or infections in the danger triangle of the face following a dental procedure or infection.
  • #129 Sinus Thrombosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/neurosurgery/brain/conditions/neurovascular-conditions/conditions/sinus-thrombosis
    Symptoms of sinus thrombosis may include: […] Weakness or trouble moving part of your body. […] If you are having sinus thrombosis or stroke symptoms, dial 911 right away dont wait. Getting fast treatment for stroke at the nearest hospital emergency department can reduce your risk of disability and death. […] When sinus thrombosis is diagnosed and treated early, it can reduce the risk of disability and death. New surgical and nonsurgical treatment options have improved survival rates.