CST
Formation of a blood clot within a cavernous sinus
Cause
Infection in nose ears sinus teeth
Staph strep
Presentation
HVMUUPCPPM
Headache Vomiting Malaise Unilateral periorbital edema Unilateral proptosis Ptosis Conjuctival chemosis Paralysis of EOM Periorbital sensory loss Impaired corneal reflex Edema over mastoid process
Fundus exam
Retinal veins dilated
Papillodemea
Diahnosis
CBC ESR
CT MRI
Cerebral angiography
Treatment
Broad spectrum IV antibiotics
NSAID
Anti inflammation
Surgically drained
Headache fever malaise vomiting Sensory loss over orbital area edema over mastoid process behind ear Dec visual acuity
Unilateral periorbital edema Unilateral proptosis Ptosis Chemosis Paralysis of EOM
Headache fever malaise vomiting Sensory loss over orbital area edema over mastoid process behind ear Dec visual acuity
Unilateral periorbital edema Unilateral proptosis Ptosis Chemosis Paralysis of EOM