Cavernous sinus thrombophlebitis: A review

Abstract

Markowitz and Loar (I934), Boikan (IS~O), Rudnew (1915), Lattes (1943), and Brunkow, Nelson, Goodnight, Hunter, and Brunkow (1949) have described such cases, and it has been suggested that abnormalities in the glands, lymphatic tissue, and muscle layer, or congenital diverticula might be aetiological factors. It is stated (Boikan, 1930 ; Low and others, 1949) that in some 50 per cent of cases of meconium peritonitis there is no intestinal obstruction. I n the majority of the cases quoted, however, perforation occurred during or after delivery, and the presence of meconium was only incidental to a pyogenic peritonitis (Zillner, 1884 ; Paltauf, 1888 ; Hughes, 1922).If the perforation occurs a short time before birth, the usual findings are fluid in the abdomen, due to chemical irritation, recent adhesions, early calcification, and possibly loculation of recently extruded and easily identified meconium (Maguire and Moore, 1950 ; Lattes, 1943 ; Dubler, 1888 ; Gover, 1950) and a patent perforation.The initial symptoms and signs in both groups are those of intestinal obstruction. Our three cases were no exception. Pyogenic peritonitis may supervene if the perforation remains patent.Kirchhoff (1932), by demonstrating a pneumoperitoneum, was the first to point out that radiographs of the abdomen may lead to the diagnosis of intestinal perforation in the newborn, and Neuhauser (1944) described how some cases of meconium peritonitis could be diagnosed by the presence of intra-abdominal calcification on X-ray examination. It has been pointed out above that both these findings are only present in a proportion of cases. Furthermore, calcification may occasionally occur in meconium within the lumen of an intact gut, the peritoneum being normal (Camp and Roberts, 1949).The treatment of the condition consists of the relief of the obstruction and, if necessary, closure of the perforation. Each case has to be treated on its merits. The numerous intraperitoneal adhesions may prevent a thorough inspection of the distal intestine and produce a subsequent intestinal obstruction, but we did not try to separate these bands at operation as it was felt that this would greatly increase the operating time, produce a considerable amount of bleeding and shock, and lead to the formation of new adhesions. We thought it wiser to close the abdomen after the resection of gut and anastomosis without any further operative interference. In the two cases surviving the operation no serious subsequent obstruction developed. SUMMARYThree cases of meconium peritonitis are described. The aeriology of this condition is discussed and the literature briefly reviewed. An attempt has been made to differentiate meconium peritonitis from other types of peritonitis in the newborn.Our thanks are due to Drs.

Septic Cerebral Vein Thrombosis and Abnormal Leptomeningitis as a Complication From a Periodontitis in a Hispanic Male: Case Report and Literature Review

“…Nuchal rigidity, which was mild in our patient, has been found in as many as 40 % of patients with CVT and may be due to concurrent bacterial meningitis or meningeal irritation [2]. CVT and the inciting infection are frequently complicated by other intracranial infections including meningitis, encephalitis, brain abscess, pituitary infection, epidural abscess and subdural empyema [2,3].…”

Septic Cerebral Vein Thrombosis and Abnormal Leptomeningitis as a Complication From a Periodontitis in a Hispanic Male: Case Report and Literature Review

“…Nuchal rigidity, which was mild in our patient, has been found in as many as 40 % of patients with CVT and may be due to concurrent bacterial meningitis or meningeal irritation [2]. CVT and the inciting infection are frequently complicated by other intracranial infections including meningitis, encephalitis, brain abscess, pituitary infection, epidural abscess and subdural empyema [2,3].…”

Cavernous sinus thrombosis in the ITU

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Cavernous Sinus Thrombosis focusing on odontogenic causes

“…If the infection is odontogenic, it may be necessary to remove the teeth that caused the problem. In addition, the use of steroids for nerve tissue repair 6,23 .…”

Septic Cerebral Vein Thrombosis and Abnormal Leptomeningitis as a Complication From a Periodontitis in a Hispanic Male: Case Report and Literature Review

“…Nuchal rigidity, which was mild in our patient, has been found in as many as 40 % of patients with CVT and may be due to concurrent bacterial meningitis or meningeal irritation [2]. CVT and the inciting infection are frequently complicated by other intracranial infections including meningitis, encephalitis, brain abscess, pituitary infection, epidural abscess and subdural empyema [2,3].…”

Cavernous sinus thrombosis in the ITU

“……”

“……”

Cavernous Sinus Thrombosis focusing on odontogenic causes

“…If the infection is odontogenic, it may be necessary to remove the teeth that caused the problem. In addition, the use of steroids for nerve tissue repair 6,23 .…”

Septic Cerebral Vein Thrombosis and Abnormal Leptomeningitis as a Complication From a Periodontitis in a Hispanic Male: Case Report and Literature Review

“…Nuchal rigidity, which was mild in our patient, has been found in as many as 40 % of patients with CVT and may be due to concurrent bacterial meningitis or meningeal irritation [2]. CVT and the inciting infection are frequently complicated by other intracranial infections including meningitis, encephalitis, brain abscess, pituitary infection, epidural abscess and subdural empyema [2,3].…”

Cavernous sinus thrombosis in the ITU

“……”

“……”

Cavernous Sinus Thrombosis focusing on odontogenic causes

“…If the infection is odontogenic, it may be necessary to remove the teeth that caused the problem. In addition, the use of steroids for nerve tissue repair 6,23 .…”