Thrombosis of a branch of the major intracerebral venous drainage system
Most commonly infectious
Spreads from facial, odontogenic, or sinus infection
Less frequently occurs with hyperc...
Headache occurs in 90% of patients.
Ocular or retrobulbar pain
Lethargy or altered mental status
Patients can be altered and unstable.
May require rapid assessment and stabilization of airway, breathing, and circulation (ABCs)
Careful assessment of...
All patients with sinus thrombosis warrant admission to a monitored setting.
Consider ICU admission.
Diagnosis is made on clinical evaluation and confirmatory lab evidence. Maintain a high index of suspicion.
Noncontrast head CT is often negative or nonspecific. MRI/MRV is the diag...
Cannon ML, Antonio BL, McCloskey JJ, et al. Cavernous sinus thrombosis complicating sinusitis. Pediatr Crit Care Med. 2004;5(1):86–88.
Carvalho KS, Garg BP. Cerebral venou...
325 Phlebitis and thrombophlebitis of intracranial venous sinuses
437.6 Nonpyogenic thrombosis of intracranial venous sinus
G08 Intracranial and intraspinal phlebitis and thrombophlebitis
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