Bilateral Cavernous Sinus and Superior Ophthalmic Vein Thrombosis in the Setting of Facial Cellulitis

Syed, Almas; Bell, Bruce M.; Hise, Joseph; Philip, Jerome; Mj, Opatowsky

doi:10.1080/08998280.2016.11929349

Cited by 9 publications

(12 citation statements)

References 6 publications

(4 reference statements)

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“…Suspicion of either optic nerve or orbital involvement should prompt immediate imaging studies and urgent ophthalmology consultation to rule out SOVT and CST [18]. In patients with infectious SOVT, the most common bacteria was Staphylococcus aureus (seven out of 10 cases) [4,6,9,[12][13][14]20], including two cases of methicillin-resistant Staphylococcus aureus (MRSA) [6,14]. Coagulation-negative Staphylococcus and Streptococcus anginosus were also reported [15,21].…”

Section: Discussionmentioning

confidence: 99%

“…The presentation of SOVT varies depending on the underlying pathology, with the most common etiologies being infection, trauma, neoplasm, and vasculitis [1]. The most commonly reported cases of SOVT are associated with infectious etiology of surrounding structures, such as orbital cellulitis (OC) [2][3][4][5][6][7][8], sinusitis [9,10], dental abscess [7,11], and cutaneous infection [12][13][14]. Due to the strong association with orbital cellulitis, suspicion of SOVT is high if the physical examination is suggestive of optic nerve or orbital involvement [1].…”

Section: Introductionmentioning

confidence: 99%

“…Due to the strong association with orbital cellulitis, suspicion of SOVT is high if the physical examination is suggestive of optic nerve or orbital involvement [ 1 ]. Reported complications include permanent impairment or loss of vision [ 5 , 7 , 8 , 15 ] and death [ 4 , 11 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Chen¹,

Guo²,

Grutman³

et al. 2021

Cureus

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Superior ophthalmic vein thrombosis (SOVT) is a rare ophthalmologic emergency. The most common etiologies include infection, trauma, inflammation, and malignancy, as well as thyroid-related orbitopathy. Early identification and timely intervention can lead to a significant decrease in complications that include cavernous sinus thrombosis (CST), vision loss, and death. This rare disease entity almost always makes its initial presentation to internal medicine or emergency medicine (EM) physicians. In this report, we present a case of SOVT that presented overnight to the emergency department for worsening right facial swelling and orbital pain. We discuss our experience with the evaluation and management of SOVT and provide a review of the currently available literature to emphasize the importance of obtaining a full history and physical examination, seeking early imaging studies, and ophthalmology consultation for patients with suspected SOVT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Chen¹,

Guo²,

Grutman³

et al. 2021

Cureus

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“…Systemic antibiotics are beneficial in cases related to infections. Steroids may be used to relieve orbital inflammation and congestion and thus decrease proptosis [ 4 ]. The use of anticoagulation for malignancy-associated cases is to be determined after risk-benefit analysis.…”

Section: Discussionmentioning

confidence: 99%

Superior and Inferior Ophthalmic Vein Thrombosis in the Setting of Lung Cancer

Habib

Lessard

2018

Case Reports in Oncological Medicine

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Superior ophthalmic vein thrombosis is extremely rare and is often associated with orbital inflammation/infection, systemic/local tumors, hypercoagulable states, autoimmune conditions, and rarely carotid cavernous fistula. Clinical features include abrupt onset of painful proptosis, chemosis, ophthalmoplegia, and diminished visual acuity. Prompt diagnosis and treatment are essential to prevent permanent blindness. Management options for this medical emergency include antibiotics, steroids, and/or anticoagulation. We present a case of superior ophthalmic vein thrombosis with left cavernous sinus thrombosis in the setting of newly diagnosed malignancy.

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“…Trombosis Sinus Kavernosus (TSK) merupakan kasus yang jarang dan dapat mengancam kehidupan. 1,2,3 Pemberian antikoagulan umum direkomendasikan selama 4-6 minggu. 5,9 Angka kematian lebih rendah pada pasien yang menerima pengobatan heparin dibanding tanpa heparin, 14% banding 36%.…”

Section: Pendahuluanunclassified

Trombosis Sinus Kavernosus Akibat Komplikasi Furunkulosis Hidung

Budiman¹,

Irfandy²,

Huriyati³

et al. 2017

JKA

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Trombosis sinus kavernosus merupakan kasus yang jarang, tetapi dapat mengancam kehidupan. Penyebab trombosis dapat berasal dari infeksi daerah sinonasal, midface atau orbita. Gejala klinis meliputi gejala yang melibatkan mata dan beberapa nervus kranial. Penatalaksanaan pada trombosis sinus kavernosus terdiri dari pemberian antibiotik, pembedahan terhadap sumber infeksi, kortikosteroid dan pemberian antikoagulan yang masih kontroversial. Dilaporkan satu kasus trombosis sinus kavernosus akibat komplikasi furunkulosis hidung pada pasien laki-laki 13 tahun dengan penurunan penglihatan pada kedua mata. Pasien diberi terapi antibiotik empirik dan kortikosteroid, memperlihatkan perbaikan. Simpulan studi ini ialah trombosis sinus kavernosus merupakan kondisi yang fatal. Terapi yang segera dan tepat dapat memberikan prognosis yang lebih baik. Penatalaksanaan medikamentosa merupakan pengobatan dasar trombosis sinus kavernosus.

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Bilateral Cavernous Sinus and Superior Ophthalmic Vein Thrombosis in the Setting of Facial Cellulitis

Cited by 9 publications

References 6 publications

Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Superior and Inferior Ophthalmic Vein Thrombosis in the Setting of Lung Cancer

Trombosis Sinus Kavernosus Akibat Komplikasi Furunkulosis Hidung

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