Cavernous sinus thrombosis

Mira, Filipe; Costa, Bruno Lourenço; Paiva, Catarina; Andrês, Rui; Loureiro, António Roque

doi:10.5935/0034-7280.20140040

Cited by 5 publications

(8 citation statements)

References 14 publications

(16 reference statements)

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“…6 It should be noted that the cavernous sinuses are trabecular dural spaces that drain the ophthalmic, medial and cerebral veins as they are located on either side of the sella turcica, above and lateral to the sphenoid sinus, anterior to the superior orbital fissure and posterior to the petrosal portion of the temporal lobe. 7 It also contains cranial nerves III, IV, V1, V2 and V1, the sympathetic plexus and the internal carotid artery. 2 Cavernous sinus thrombosis can occur due to some factors, like: 2,7 1.…”

Section: Discussionmentioning

confidence: 99%

“…The path of communication between the right and left cavernous sinuses is through the intercavernous sinuses, anterior and posterior to the cellae, which allow the spread of thrombus and infection from one side to the other. 7 Pressure on these structures and decreased venous drainage can lead to several abnormal findings, such as: 2,7 1. Diplopia due to partial or total external ophthalmoplegia, caused by compression of cranial nerves VI (abducens), III (oculomotor), and IV (trochlear).…”

Section: Discussionmentioning

confidence: 99%

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Septic Cavernous Sinus Thrombosis (CST) with Blindness Caused by Odontogenic Infection – A Case Report

Valentine

Adrianto²,

Setyowatie³

2023

magna-neurologica

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Introduction: Septic cavernous sinus thrombosis (CST) is a rare thrombosis, but severe, causing damage to all nerves inside the cavernous sinus. The incidence rate of CST is estimated at two to four per million people per year. The symptom usually varies, gradually worsening, making diagnosis harder and potentially making permanent disability. Early detection and prompt treatment are very important to lower the morbidity rate. Case: Tn. M had complained of multiple headaches attacks since 8 months ago before being admitted followed by diplopia. Complaints had worsened 3 months before with the loss of vision in the left eye. MRI showed left thrombosis sinus cavernous. The terrible headache was scaled 8-9 with VAS score. The patient’s left eye was found proptosis palpebra, with anisocoria and mydriasis followed by no direct light reflex also indirect light reflex, visual acuity of the left eye is no light response, whereas the patient’s right eye is normal. On the patient’s left eye was found gaze palsy sinistra. The abnormal blood result was leucocytosis and thrombocytosis. The patient was given fondaparinux once a day with a dose of 6000 units subcutaneously for 5 days. After that, the headache was decreased significantly. The patient underwent 5 tooth extraction done by mouth surgeon after being discharged. The patient was given 20 mg rivaroxaban per day for three weeks, then 10mg per day for three months, and evaluated with MRV again. Conclusion: CST is still very rare but very lethal and makes permanent disability on the patient. Through this case, we demonstrate the potential of tooth infection which leads to septic CST and caused ophthalmoplegia and blindness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Septic Cavernous Sinus Thrombosis (CST) with Blindness Caused by Odontogenic Infection – A Case Report

Valentine

Adrianto²,

Setyowatie³

2023

magna-neurologica

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“…En el caso de trombosis del seno cavernoso, su variante séptica es la más frecuente; sin embargo, en incluso 12.5% de los casos la causa permanece desconocida. 7 El tratamiento debe incluir antibióticos y drenaje temprano de exudado en los senos o la región mastoidea; análisis retrospectivos sugieren que…”

Section: Discussionunclassified

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et al. 2018

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645 www.medicinainterna.org.mx caso clínico Med Int Méx. 2018 julio-agosto;34(4):645-648. Síndrome de seno cavernosoResumen La trombosis del seno cavernoso es una enfermedad poco común, pero puede ser fatal. Se vincula con infecciones faciales, sinusitis o asépticas. El reconocimiento oportuno en pacientes con fiebre, cefalea y alteraciones en la exploración de movimientos oculares es importante para un buen pronóstico. Se comunica el caso de un paciente con síndrome de seno cavernoso, con meningitis por contigüidad.PALABRAS CLAVE: Síndrome del seno cavernoso; meningitis. AbstractCavernous sinus thrombosis (CST) is a rare, life-threatening disorder that can complicate facial infection. Early recognition of cavernous sinus thrombosis in patients with fever, headache, eye findings such as periorbital swelling and ophthalmoplegia is critical for good outcome. We present the case of a patient with cavernous sinus syndrome with contiguous meningitis. Este artículo debe citarse comoJaramillo-Ramírez HJ, Yocupicio-Yocupicio FM, Angulo-Preciado A, Espinoza-Rodríguez CR. Síndrome de seno cavernoso. Med Int Méx. 2018 julio-agosto;34(4):645-648.

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“…12 Cavernous sinus thrombosis may result from infectious or non-infectious causes. 16 Infectious causes include spread from oral cavity, paranasal sinuses, upper half of face, sides of the head and bacteremia. Non-infectious causes (aseptic) include neurological procedures or head injuries complicated by fractures of the anterior or middle cranial fossa.…”

Section: Discussionmentioning

confidence: 99%

Cavernous sinus thrombosis in a 14-year old boy

Mokgacha¹,

Maruza²,

Sesay³

et al. 2017

Turk J Pediatr

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Mokgacha K, Maruza MP, Sesay SO, Rwegerera GM. Cavernous sinus thrombosis in a 14-year old boy. Turk J Pediatr 2017; 59: 719-723. Cavernous sinus thrombosis (CST) is a rare, life-threatening disorder occurring as a result of sepsis or secondary to aseptic causes in the setting of a thrombophilic disorder that has over the years been linked to high morbidity and mortality rates; this being despite availability of a wide number of new broad-spectrum antibiotics. We present a case of a 14-year old boy who had presented with two weeks` duration of worsening bitemporal headache followed by facial swelling on the background history of chronic non-specific headache of few months duration. He was diagnosed to have cavernous sinus thrombosis secondary to pansinusitis. The course of his illness was complicated by a stroke despite prompt treatment with antibiotics and anticoagulation. The case highlights the importance of high index of suspicion in patients with unexplained headache and need for investigation and early referral to prevent occurrence of cavernous sinus thrombosis.

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Cavernous sinus thrombosis

Cited by 5 publications

References 14 publications

Septic Cavernous Sinus Thrombosis (CST) with Blindness Caused by Odontogenic Infection – A Case Report

Septic Cavernous Sinus Thrombosis (CST) with Blindness Caused by Odontogenic Infection – A Case Report

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Cavernous sinus thrombosis in a 14-year old boy

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