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Intracranial venous thrombosis
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> ''Overview'' can cause cerebral infarction, much less common than arterial causes 50% of patients have isolated sagittal sinus thromboses - the remainder have coexistent lateral sinus thromboses and cavernous sinus thromboses ''Features'' headache (may be sudden onset) nausea & vomiting ''Sagittal sinus thrombosis'' may present with seizures and hemiplegia parasagittal biparietal or bifrontal haemorrhagic infarctions are sometimes seen ''Cavernous sinus thrombosis'' other causes of cavernous sinus syndrome: local infection (e.g. sinusitis), neoplasia, trauma periorbital oedema ophthalmoplegia: 6th nerve damage typically occurs before 3rd & 4th trigeminal nerve involvement may lead to hyperaesthesia of upper face and eye pain central retinal vein thrombosis ''Lateral sinus thrombosis'' 6th and 7th cranial nerve palsies
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Neurology