Septic Thrombosis of the Dural Venous Sinuses

  title={Septic Thrombosis of the Dural Venous Sinuses},
  author={Frederick S Southwick and E. P. Richardoson and Morton N. Swartz},
From 1940 to 1984, 19 cases of septic dural-sinus thrombosis have been diagnosed at the Massachusetts General Hospital, and some 136 cases have been reported from other institutions. Septic thrombosis most frequently involves the cavernous sinuses (96 cases). Facial or sphenoid air sinus infection often precede cavernous-sinus disease. In addition to the classical signs of proptosis, chemosis, and oculomotor paralysis, isolated sixth-nerve palsy and hypo- or hyperesthesia of the fifth nerve may… 
Septic thrombosis of the cavernous sinuses.
Cavernous sinus thrombosis may occur as a complication of infectious and noninfectious processes and includes appropriate antibiotics and surgical drainage of the primary focus of infection.
Diagnosis of Septic Sigmoid Sinus Thrombosis with Magnetic Resonance Imaging
  • K. Kelly, R. Jackler, W. Dillon
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 1991
SST, which before antibiotics was nearly as common as otogenic meningitis-is now only the fourth most frequent intracranial complication of otiti s media, after meningococcal disease and epidural abscess, has fallen in importance.
Septic Thrombosis of the Cavernous Sinus: Two Different Mechanisms
In septic thrombosis of the cavernous sinus, early recognition and prompt management with broad spectrum intravenous antibiotics is crucial for full recovery.
Septic cerebral venous sinus thrombosis
Suppurative intracranial thrombophlebitis.
Periodontitis Associated With Septic Lateral Sinus Thrombosis and Pulmonary Embolism
This case report describes the unusual presentation of lateral sinus thrombosis and multiple pulmonary emboli in a patient with periodontitis, and demonstrates that oral cavity can be the primary infection focus, and dental evaluation should be considered for patients with cerebral venous sinuses.
Septic Cavernous Sinus Thrombosis Secondary to Acute Bacterial Sinusitis: A Retrospective Study of Seven Cases
A retrospective study of patients admitted for SCST related to acute sinusitis at a tertiary care center between 2003 and 2013 found the combination of high-dose i.v. antibiotics, anticoagulation therapy, and endoscopic drainage of the infected paranasal sinus is an effective strategy for the treatment of SCST, but long-term sequelae remain frequent.
Septic Cavernous Sinus Thrombosis Associated With Orbital Cellulitis: A Report of 6 Cases and Review of Literature.
Early diagnostic imaging with contrast-enhanced CT or MRI should be initiated in patients with risk factors and ocular symptoms concerning for cavernous sinus thrombosis.
Cavernous sinus thrombosis complicating sinusitis
The diagnosis of septic cavernous sinus thrombosis requires a high index of suspicion and confirmation by imaging; early diagnosis and surgical drainage of the underlying primary source of infection in conjunction with long-term intravenous antibiotic therapy are critical for an optimal clinical outcome.
Septic Thrombophlebitis
The diagnosis and management of septic thrombophlebitis is reviewed, focusing on Lemierre syndrome, pylephlebit is, and septic thrombus of the dural sinuses and the pelvic veins.