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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