Discerning Cavernous Sinus Thrombosis (CST): A Deep Dive into its Ten Hallmark Symptoms

3. Pupil Dilation: A Telling Tale

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Pupil Dilation A Telling Tale
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Accompanying eye redness, patients with CST may exhibit dilation of the pupil, known as mydriasis. This symptom is a result of the compression of the third cranial nerve or oculomotor nerve. The nerve’s role in controlling the size of the pupil makes it a direct target in CST cases, where blood clot-induced pressure effects prevail.

In mydriasis, the affected eye’s pupil appears larger than normal, and this difference becomes more noticeable in dim light. It’s vital to understand that this pupil dilation is typically unresponsive to light, distinguishing it from benign causes of pupil enlargement.

The unique feature of mydriasis in CST is its unilateral presentation. It tends to affect one eye, whereas most common causes of mydriasis, such as certain drugs or damage to the brain, often affect both pupils.

In summary, a dilated pupil, particularly when it’s unilateral and unresponsive to light changes, could be indicative of CST, especially when presented alongside the aforementioned symptoms. The convergence of these symptoms should prompt immediate medical consultation and examination.

The narrative of CST’s symptoms continues, highlighting the essentiality of acknowledging each symptom’s individual significance and their collective relevance in a potential CST diagnosis. Remember, recognizing these symptoms early can make all the difference in the journey towards recovery. (3)

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