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Cavernous sinus thrombosis

MedGen UID:
65970
Concept ID:
C0238454
Disease or Syndrome
Synonyms: Cavernous Sinus Thromboses; Cavernous Sinus Thrombosis; Sinus Thrombosis, Cavernous; Thromboses, Cavernous Sinus; Thrombosis, Cavernous Sinus
SNOMED CT: Cerebral venous thrombosis of cavernous sinus (89980009); Thrombosis of cavernous venous sinus (89980009)
 
Monarch Initiative: MONDO:0002694

Definition

Formation or presence of a blood clot (thrombus) in the cavernous sinus of the brain. Infections of the paranasal sinuses and adjacent structures, craniocerebral trauma, and thrombophilia are associated conditions. Clinical manifestations include dysfunction of cranial nerves iii, iv, V, and vi, marked periorbital swelling, chemosis, fever, and visual loss. (From Adams et al., Principles of Neurology, 6th ed, p711) [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCavernous sinus thrombosis

Professional guidelines

PubMed

Dinkin M, Patsalides A, Ertel M
Asia Pac J Ophthalmol (Phila) 2019 Jan-Feb;8(1):73-85. Epub 2019 Jan 23 doi: 10.22608/APO.2018239. PMID: 30672173
Wong SJ, Levi J
Int J Pediatr Otorhinolaryngol 2018 Jul;110:123-129. Epub 2018 May 8 doi: 10.1016/j.ijporl.2018.05.006. PMID: 29859573
Brook I
ORL J Otorhinolaryngol Relat Spec 2003 Mar-Apr;65(2):117-20. doi: 10.1159/000070776. PMID: 12824734

Recent clinical studies

Etiology

Long B, Field SM, Singh M, Koyfman A
Am J Emerg Med 2024 Sep;83:47-53. Epub 2024 Jun 25 doi: 10.1016/j.ajem.2024.06.024. PMID: 38959601
Housley SB, McPheeters MJ, Raygor KP, Bouslama M, Scullen T, Davies JM
Neurosurg Clin N Am 2024 Jul;35(3):305-310. Epub 2024 Apr 4 doi: 10.1016/j.nec.2024.02.002. PMID: 38782523
Karakas C, Hajiyev Y, Skrehot HC, Kralik SF, Lambert EM, Pehlivan D
Pediatr Neurol 2022 May;130:28-40. Epub 2022 Mar 4 doi: 10.1016/j.pediatrneurol.2022.02.006. PMID: 35306302
Welkoborsky HJ, Pitz S, Grass S, Breuer B, Holte APV, Bertram O, Wiechens B
Dtsch Arztebl Int 2022 Jan 21;119(3):31-37. doi: 10.3238/arztebl.m2021.0379. PMID: 34874263Free PMC Article
Geng B, Wu X, Malhotra A
Clin Neurol Neurosurg 2020 Oct;197:106092. Epub 2020 Jul 16 doi: 10.1016/j.clineuro.2020.106092. PMID: 32693341

Diagnosis

Narainswami N
S Afr Med J 2023 Aug 3;113(8):28-29. doi: 10.7196/SAMJ.2023.v113i8.649. PMID: 37882117
Yadalla D, Jayagayathri R, Padmanaban K, Ramasamy R, Rammohan R, Nisar SP, Rangarajan V, Menon V
Indian J Ophthalmol 2023 Jul;71(7):2687-2693. doi: 10.4103/IJO.IJO_3283_22. PMID: 37417106Free PMC Article
Caranfa JT, Yoon MK
Surv Ophthalmol 2021 Nov-Dec;66(6):1021-1030. Epub 2021 Apr 5 doi: 10.1016/j.survophthal.2021.03.009. PMID: 33831391
Wong SJ, Levi J
Int J Pediatr Otorhinolaryngol 2018 Jul;110:123-129. Epub 2018 May 8 doi: 10.1016/j.ijporl.2018.05.006. PMID: 29859573
Ogle OE
Dent Clin North Am 2017 Apr;61(2):235-252. doi: 10.1016/j.cden.2016.11.004. PMID: 28317564

Therapy

Housley SB, McPheeters MJ, Raygor KP, Bouslama M, Scullen T, Davies JM
Neurosurg Clin N Am 2024 Jul;35(3):305-310. Epub 2024 Apr 4 doi: 10.1016/j.nec.2024.02.002. PMID: 38782523
Yadalla D, Jayagayathri R, Padmanaban K, Ramasamy R, Rammohan R, Nisar SP, Rangarajan V, Menon V
Indian J Ophthalmol 2023 Jul;71(7):2687-2693. doi: 10.4103/IJO.IJO_3283_22. PMID: 37417106Free PMC Article
Caranfa JT, Yoon MK
Surv Ophthalmol 2021 Nov-Dec;66(6):1021-1030. Epub 2021 Apr 5 doi: 10.1016/j.survophthal.2021.03.009. PMID: 33831391
Wong SJ, Levi J
Int J Pediatr Otorhinolaryngol 2018 Jul;110:123-129. Epub 2018 May 8 doi: 10.1016/j.ijporl.2018.05.006. PMID: 29859573
Ogle OE
Dent Clin North Am 2017 Apr;61(2):235-252. doi: 10.1016/j.cden.2016.11.004. PMID: 28317564

Prognosis

Dixit R, Gupta A, Prakash A, Pradhan GS
Acta Radiol 2023 Apr;64(4):1641-1649. Epub 2022 Oct 17 doi: 10.1177/02841851221132788. PMID: 36254401
Karakas C, Hajiyev Y, Skrehot HC, Kralik SF, Lambert EM, Pehlivan D
Pediatr Neurol 2022 May;130:28-40. Epub 2022 Mar 4 doi: 10.1016/j.pediatrneurol.2022.02.006. PMID: 35306302
Joshi S, Telang R, Tambe M, Havaldar R, Sane M, Shaikh A, Roy C, Yathati K, Sonawale S, Borkar R, Magar R, Bhitkar H, Shitole S, Nakate L, Kudrimoti J, Mave V
Emerg Infect Dis 2022 Jan;28(1):1-8. Epub 2021 Sep 29 doi: 10.3201/eid2801.211636. PMID: 34586055Free PMC Article
Geng B, Wu X, Malhotra A
Clin Neurol Neurosurg 2020 Oct;197:106092. Epub 2020 Jul 16 doi: 10.1016/j.clineuro.2020.106092. PMID: 32693341
Wong SJ, Levi J
Int J Pediatr Otorhinolaryngol 2018 Jul;110:123-129. Epub 2018 May 8 doi: 10.1016/j.ijporl.2018.05.006. PMID: 29859573

Clinical prediction guides

Kim JM, Kang KW, Kim H, Lee SH, Kim TS, Park MS
Medicine (Baltimore) 2022 Mar 11;101(10):e29057. doi: 10.1097/MD.0000000000029057. PMID: 35451418Free PMC Article
Goel R, Arora R, Shah S, Chhabra M, Kumar J, Khurana N, Gupta S, Khanam S, Kumar S, Singh S, Meher R, Thakar M, Garg A
Ophthalmic Plast Reconstr Surg 2022 May-Jun 01;38(3):242-249. Epub 2022 May 11 doi: 10.1097/IOP.0000000000002112. PMID: 34919070Free PMC Article
Welkoborsky HJ, Pitz S, Grass S, Breuer B, Holte APV, Bertram O, Wiechens B
Dtsch Arztebl Int 2022 Jan 21;119(3):31-37. doi: 10.3238/arztebl.m2021.0379. PMID: 34874263Free PMC Article
Press CA, Lindsay A, Stence NV, Fenton LZ, Bernard TJ, Mirsky DM
Stroke 2015 Sep;46(9):2657-60. Epub 2015 Aug 6 doi: 10.1161/STROKEAHA.115.009437. PMID: 26251243
Diaz I, Bamberger DM
Semin Respir Infect 1995 Mar;10(1):14-20. PMID: 7761709

Recent systematic reviews

Wong SJ, Levi J
Int J Pediatr Otorhinolaryngol 2018 Jul;110:123-129. Epub 2018 May 8 doi: 10.1016/j.ijporl.2018.05.006. PMID: 29859573
Yamaguchi K, Lonic D, Lo LJ
J Formos Med Assoc 2016 Apr;115(4):269-77. Epub 2015 Dec 11 doi: 10.1016/j.jfma.2015.10.009. PMID: 26686426

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