Intracranial venous thrombosis

Parsons, M

doi:10.1136/pgmj.43.500.409

Cited by 14 publications

(3 citation statements)

References 41 publications

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“…Anticoagulative therapy in sinovenous thrombosis is a controversial subject (Karlin and Robinson, 1984;Sneed, 1983;Debruyne, 1985). In septic CST this treatment is recommended by most authors while it is dissuaded in cases of LST unless there is evidence of embolic phenomenon (Parsons, 1967;Castaigne et al, 1977;Teichgraeber et al, 1982 Karlin andRobinson, 1984;Samuel and Fernandes, 1987).…”

Section: Treatmentmentioning

confidence: 99%

“…Septic intracranial sinus thromboses are classified according to their anatomical localization into sagittal sinus thrombosis (SST), cavernous sinus thrombosis (CST) and lateral sinus thrombosis (LST), comprising thromboses of the transverse sinus, the sigmoid sinus, and the superior and inferior petrosal sinuses. CST and LST occur most frequently (Parsons, 1967) and are therefore of the greatest clinical relevance to otolaryngologists.…”

Section: Introductionmentioning

confidence: 99%

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Septic cavernous and lateral sinus thrombosis

Tveterås¹,

Kristensen²,

Dommerby³

1988

J. Laryngol. Otol.

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The incidence of both lateral and cavernous sinus thrombophlebitis has been significantly reduced in the antibiotic era. Since septic cavernous sinus thrombosis (CST) is mainly a complication of facial abscesses and septic lateral sinus thrombosis (LST) is almost invariably due to chronic otitis media, both conditions are of clinical relevance to the otolaryngologist. The predominant bacterium in septic CST is Staphylococcus aureus whereas in septic LST the bacteriology is very similar to that found in chronic otitis media. The diagnosis of septic CST can be established in most cases after thorough clinical examination, and contrast computerized tomography (CT) using the coronal projection usually confirms the clinical diagnosis. The signs and clinical course of septic LST are non-specific and the final diagnosis rests upon radiological investigations including CT-scan. The treatment of both conditions consists of broad-spectrum antibiotics, including beta-lactamase resistant penicillin in cases of septic CST. Most cases of septic LST also require surgical intervention. Two cases of septic intracranial sinus thrombosis are presented. The need for early diagnosis and treatment of this potentially lethal condition is emphasized.

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Section: Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Septic cavernous and lateral sinus thrombosis

Tveterås¹,

Kristensen²,

Dommerby³

1988

J. Laryngol. Otol.

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“…Because delayed therapy results in a high mor tality rate, it is most important to establish an early diagnos is [1][2][3][4], However, because patients frequently present to ophthalmologists initially because of the nature of the symptoms, ophthalmologists play an important role in the early diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging in the Early Diagnosis of Cavernous Sinus Thrombosis

Igarashi

Igarashi²,

Fujio³

et al. 1995

Ophthalmologica

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A 55-year-old man reported a severe headache of 3 days’ duration, left ptosis and left lid swelling before examination. The ocular examination revealed left eye proptosis, severe edema of the left bulbar conjunctiva and lid, increasing intraocular pressure of the left eye and ptosis on the left side with decreased extraocular movement. The right eye was normal. Hematologic studies indicated mild inflammation. An enhanced computed tomography scan revealed proptosis of the left globe and enlargement of the superior ophthalmic vein and cavernous sinus of the left side. Angiography revealed an area of interrupted blood flow in the left cavernous sinus. Enhanced magnetic resonance imaging (MRI) with Gd-DTPA revealed a low-intensity area that was suspected to be a blood clot in the enlarged left cavernous sinus. This case indicates the efficacy of enhanced MRI examination in the early diagnosis of cavernous sinus thrombosis.

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