Cavernous sinus thrombosis
Cavernous Sinus Thrombosis (CST)
Cavernous Sinus Thrombosis (CST) is a rare but severe condition where a blood clot forms in the cavernous sinus — a cavity at the base of the brain that drains deoxygenated blood from the brain back to the heart.
Types of Cavernous Sinus Thrombosis
CST can be categorized into two types:
- Septic Cavernous Sinus Thrombosis: The more common form, usually caused by an infection.
- Aseptic Cavernous Sinus Thrombosis: Less common, often associated with conditions like inflammatory diseases or injuries.
Causes
The primary cause of CST is usually an infection spreading from the nose, sinuses, ears, or teeth. Bacteria such as Staphylococcus aureus and Streptococcus species are often implicated.
Symptoms
Symptoms of CST can include:
- Severe headache
- Fever
- Visual disturbances
- Eye pain and bulging eyes
- Swelling around the eyes
Diagnosis
Diagnosis typically involves imaging studies like CT or MRI scans of the brain, alongside clinical examination and medical history.
Treatment
Treatment for CST involves:
- Antibiotics for bacterial infections
- Anticoagulants to prevent further clotting
- Possible surgical intervention in severe cases
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