Cavernous sinus thrombosis CST

• Facts:
  Most cases secondary to infection located in the medial aspect of the face around the eyes and nose
• History / PE:
  Headache, low grade fever
  Bilateral periorbital edema
  Double vision (CN palsy)
• Diagnosis:
  MRI or CT of orbits with contrast
• Treatment:
  Broad spectrum antibiotics
• Differential Diagnosis:
  Orbital cellulitis (B/L periorbital edema and CN palsies rare)
  Acute angle-closure glaucoma
  Brain abscess (no eye symptoms)