Complications and Recovery from Cavernous Sinus Thrombosis
Complications and recovery from cavernous sinus thrombosis depend on how quickly treatment is initiated and the extent of neurological damage. While many patients now recover well with modern care, CST remains a dangerous condition with potential for long-term effects.
1. Immediate Complications
- Brain abscess or meningitis: If infection spreads
- Stroke: Due to reduced blood flow or haemorrhage
- Vision loss can occur if damage affects the optic nerves or disrupts blood supply to the eyes
- Sepsis: Infection may enter the bloodstream and cause life-threatening organ failure
Prompt antibiotic treatment greatly reduces the risk of these complications.
2. Long-Term Neurological Issues
- Cranial nerve damage: May lead to permanent double vision, facial numbness, or drooping eyelids
- Persistent headache or eye pain
- Chronic fatigue or memory issues, particularly after critical illness
Physical therapy, occupational therapy, and neurology follow-up help manage these effects and support recovery.
3. Eye and Facial Issues | Complications
Even after successful treatment, patients may experience:
- Reduced eye movement
- Residual facial swelling
- Light sensitivity or vision changes
Ophthalmologists often provide specialist care and may recommend corrective surgery or prism lenses to manage double vision.
4. Mental Health and Emotional Impact
Surviving a life-threatening illness can be traumatic. Patients may experience anxiety, depression, or post-traumatic stress. Psychological support is often a vital part of full recovery.
5. Recovery Timeline
- Hospitalisation: Usually 1–2 weeks for acute treatment
- Full recovery: May take several months
- Ongoing care: Includes imaging, neurological reviews, and sometimes lifelong management
Complications and Recovery from Cavernous Sinus Thrombosis
Early intervention drastically improves outcomes. With modern medicine, most patients make a full or partial recovery from cavernous sinus thrombosis, though follow-up and rehabilitation are often needed.
