Sagittal Sinus Septic Phlebitis is a condition characterized by inflammation and infection of the sagittal sinus, a large dural venous sinus located vertically along the midline of the brain, and often involving the adjacent veins. Phlebitis refers to the inflammation of the veins, while septic implies the presence of bacteria or other infectious organisms in the affected area.
This condition typically arises as a complication of an infection, most commonly caused by bacteria that enter the bloodstream and travel to the sagittal sinus, where they multiply and cause an immune response, leading to inflammation. The infection can also spread to the adjacent veins, further exacerbating the inflammation and obstruction of blood flow.
Symptoms of Sagittal Sinus Septic Phlebitis may include headache, fever, visual disturbances, nausea, vomiting, and focal neurological deficits. Rapid onset and progression of symptoms are common, and if left untreated, the condition can lead to serious complications, such as cerebral venous thrombosis, abscess formation, or meningitis.
Diagnosis is typically done through imaging techniques such as magnetic resonance imaging (MRI) or computed tomography (CT) scans, which can show the presence of clot formation, obstruction, or signs of infection in the sagittal sinus.
Treatment usually involves a combination of intravenous antibiotics to target the causative bacteria, anticoagulant therapy to prevent clot formation, and supportive care to manage symptoms and complications. In severe cases, surgical intervention may be necessary to drain abscesses or clear obstructions.
