Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Nakamura, Satoshi; Kawamata, Takakazu; Kobayashi, Tomonori; Hori, Tomokatsu

doi:10.2176/nmc.50.168

Cited by 8 publications

(3 citation statements)

References 23 publications

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“…Local complications of sinusitis are either intracranial or extracranial. The former carry the greater risk, with an incidence range of 3.7–11 per cent 2 , 3 . In children, periorbital cellulitis is the most common complication, followed by meningitis, intracranial abscess and dural venous sinus thrombosis 4 .…”

Section: Discussionmentioning

confidence: 99%

Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

et al. 2012

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“…Hence, there is a need for more reliable anatomical landmarks for surgery [12][13][14] . While the different walls of the CS, the intracavernous ICA, and its branches are well described [15][16][17] , morphological and clinical characteristics of the CS venous spaces, remain relatively unknown.…”

Section: Introductionmentioning

confidence: 99%

Expanded endoscopic endonasal transsphenoidal approach to determine morphological characteristics and clinical considerations of the cavernous sinus venous spaces

Zhan

Guo

et al. 2022

Preprint

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The study aimed at investigating the morphological characteristics and interconnected regularities of the cavernous sinus (CS) venous spaces using an expanded endoscopic endonasal transsphenoidal approach.Surgical dissections were performed for 15- colored silicon–injected human head specimens. The CS venous spaces were examined for their morphological and clinical characteristics using an expanded endoscopic endonasal transsphenoidal approach. The intracavernous course of the internal carotid artery (ICA) divided the CS venous spaces into four interconnected virtual compartments: medial, anteroinferior, posterosuperior, and lateral. The CS venous spaces had peculiar morphological characteristics; the medial compartment was C-shaped while the anteroinferior compartment resembled a boat's bow. The mean distances from the medial border of the inferior horizontal segment of cavernous ICA to the mid-line of the pituitary gland (PG) were 6.07±1.61 mm (left) and 5.97±1.89 mm (right); the mean distances from the medial border of the subarachnoid segment of cavernous ICA to the mid-line of the PG were 5.77±1.16 mm (left) and 5.63±1.17 mm (right); the mean distances from the medial border of the anterior vertical segment of cavernous ICA to the mid-line of the PG were 10.27±1.74 mm (left) and 10.47±1.90 mm (right). Morphological characteristics and the knowledge of the interconnected regularities of the CS venous spaces may help surgeons accurately locate the neurovascular structure, and thus may contribute to the effective prediction of tumor invasion and extension during endoscopic CS surgery.

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“…4 Orbital selülit ve orbital apseler, kavernöz sinüs trombozu, menenjit, subdural ampiyem, ve beyin apsesine ilerleyebilir; bu nedenle erken tanı ve tedavi morbidite ve mortaliteyi kontrol altına almak için önemlidir. 5 Bu sunumumuzda, göz kapağında şişlik nedeniyle oral steroid tedavisi alan ve intrakranial apse gelişen bir olguyu sunmayı amaçladık.…”

Section: Introductionunclassified

Sinüzit Sonucu Gelişen Subperiostal Orbital Apse ve Frontal Epidural Apse: Olgu Sunumu

Ulaş¹,

Yaycıoğlu²,

Erkan³

et al. 2013

tjo

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ÖzetOn yedi yaşında bir kız hasta sol üst göz kapağında kızarıklık, şişlik ve ağrı ile kliniğimize başvurdu. Başka bir klinikte akut anjioödem ön tanısı ile 1 hafta yüksek doz oral steroid tedavisi alma öyküsü vardı. Hastanın oftalmolojik muayenesinde sol üst göz kapağının ödemli, şiş, hiperemik olduğu görüldü. Beraberinde sol gözde yukarı bakış kısıtlılığı mevcuttu. Düzeltilmiş en iyi görme keskinliği 0,7 idi. Hastanın bilgisayarlı tomografi incelemesinde etmoidal, maksiller ve frontal sinüzit, subperiostal orbital apse ve frontal epidural apse izlendi. İntravenöz antibiyotik tedavisi düzenlendi. Klinik bulguların devam etmesi üzerine cerrahi olarak apseler boşaltıldı. Hasta oral antibiyotik tedavisi ile taburcu edildi. Bir ay sonraki kontrolünde sol gözün yukarı bakış kısıtlılığının düzeldiği ve görme keskinliğinin 1,0'a yükseldiği görüldü. Göz kapaklarında şişlik ile gelen bir hastanın tedavisinde steroid kararı almadan önce ayırıcı tanının iyi yapılması gereklidir. Sinüzit sık görülen bir hastalık olup, orbital apse, epidural apse ve intrakranial komplikasyonlara yol açabileceği için akılda bulundurulmalıdır. (Turk J Ophthalmol 2013; 43: 464-7) Anahtar Kelimeler: Subperiostal orbital apse, orbital apse, epidural apse, sinüzit Sum maryA seventeen-year-old girl was admitted to our clinic with complaint of rubor, swelling, and pain on the left upper eyelid. Her medical history revealed that she had received high-dose oral steroid treatment for one week for the diagnosis of acute angioedema in another clinic. On ophthalmologic examination, her left upper eyelid had edema, swelling, and hyperemia. Additionally, she had restriction in up-gaze in the left eye. Her best-corrected visual acuity was 0.7. The patient's computerized tomography revealed ethmoidal, maxillary and frontal sinusitis, as well as subperiostal orbital abscess, and frontal epidural abscess. Intravenous antibiotic treatment has been arranged. Due to persistence of the clinical signs, surgical drainage of the abscesses has been performed. Following, she has been discharged from the hospital on oral antibiotic treatment. Postoperatively, at the first-month visit, the left eye's up-gaze restriction was recovered, and visual acuity was improved to 1.0. If a patient presents with eyelid swelling, differential diagnosis should be performed carefully before making the decision to start steroid treatment. Sinusitis, which is seen frequently in clinical practice, should be kept in mind due to its potential to cause orbital abscess, epidural abscess, and intracranial complications. (Turk J Ophthalmol 2013; 43: 464-7

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Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Cited by 8 publications

References 23 publications

Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

Expanded endoscopic endonasal transsphenoidal approach to determine morphological characteristics and clinical considerations of the cavernous sinus venous spaces

Sinüzit Sonucu Gelişen Subperiostal Orbital Apse ve Frontal Epidural Apse: Olgu Sunumu

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