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Cavernous sinus thrombosis

Contents of this page:

Illustrations

Sinuses
Sinuses

Definition    Return to top

Cavernous sinus thrombosis is a blood clot in the cavernous sinus. The cavernous sinus is a cavity at the base of the brain that contains a vein, several nerves, and other structures. The vein carries deoxygenated blood from the brain and face back to the heart.

The vein and cavity run between the large bone at the base of the skull (sphenoid bone) and temporal bone (near the temple).

Causes    Return to top

The cause of cavernous sinus thrombosis is usually a bacterial infection that has spread from the sinuses, ears, eyes, nose, or skin of the face.

Symptoms    Return to top

Exams and Tests    Return to top

Tests that may be ordered include:

Treatment    Return to top

Cavernous sinus thrombosis is treated with high-dose intravenous (through a vein) antibiotics. Sometimes surgery is needed to drain the infection.

Outlook (Prognosis)    Return to top

Cavernous sinus thrombosis can be fatal. However, the death rate of this condition has improved tremendously since the introduction of antibiotics.

When to Contact a Medical Professional    Return to top

Call your doctor right away if you have:

References    Return to top

Goldman L, Ausiello D. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: WB Saunders; 2007:2717.

Update Date: 8/18/2008

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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