Cavernous Sinus Thrombosis  


Pathophysiology

Diagnosis

Treatment

  1.  Early, aggressive antibiotic treatment (gram positive & negative anaerobes)
  2. Anticoagulant (heparin) prevents extension & prevent septic emboli
  3. Corticosteroids: esp. in severe cases
  4. Hypothermia to control fever & protect eye
  5. Prevention of dz should be stressed; i.e., pts should be dissuaded from tampering w/ pimples draining into cavernous sinus
  6. Do not aspirate orbit because abscess a complication

Disposition

  1. Admit if considering diagnosis
  2. D/C OCP in women w/ any hx of CVT
  3. Pt w/ previous CVT & recurrent Sx
  4. Poor long-term prognosis predictors
  5. 30-day mortality predictors