期刊
SURVEY OF OPHTHALMOLOGY
卷 66, 期 6, 页码 1021-1030出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.survophthal.2021.03.009
关键词
Cavernous Sinus Thrombosis; Superior Ophthalmic Vein; Thrombosis; Cerebral Venous Thrombosis; Anticoagulation; Sinusitis
SCST is a rare yet severe condition typically caused by infections of the paranasal sinuses. With the introduction of antibiotics, the mortality rate has greatly declined, but morbidity and mortality remain high, highlighting the importance of prompt treatment.
Septic cavernous sinus thrombosis (SCST) is a rare, yet severe, process typically arising from infections of the paranasal sinuses (predominately ethmoid and/or sphenoid sinusitis) and less commonly, otogenic, odontogenic, and pharyngeal sources. Clinical symptoms of SCST arise from obstruction of venous drainage from the orbit and compression of the cranial nerves within the cavernous sinus. In the preantibiotic era SCST was considered universally fatal (80-100%); however, with the introduction of antibiotics the overall incidence, morbidity, and mortality of SCST have greatly declined. In spite of dramatic improvements, morbidity and mortality remain high, with the majority of patients experiencing neurological sequalae, highlighting the severity of the disease and the need for prompt recognition, diagnosis, and treatment. Here we review of the literature on SCST with a focus on the current recommendations and recent evidence for diagnostic and medical management of this condition. (c) 2021 Elsevier Inc. All rights reserved..
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