An atypical presentation of cavernous sinus thrombosis

Ramanand, Y.; Sidhu, T. S.; Jaswinder, K.; Sharma, Nitasha

doi:10.1007/s12070-007-0048-8

Cited by 12 publications

(9 citation statements)

References 12 publications

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“…In this case infection must have spread from extra cranial site of infective focus to cavernous sinus through emissary veins and spread of infection occurred posteriorly involving 10th, 11th and 12th cranial nerves. This explanation supports the view of Ramanand et al [9] who have described the involvement of 7th cranial nerve in a case of cavernous sinus thrombosis which was not present in this case. Besides this aneurysm was another factor to press upon 3rd, 4th and 6th cranial nerves.…”

Section: Discussionsupporting

confidence: 93%

Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm

Pant

Joshi

Isser

2012

Indian J Otolaryngol Head Neck Surg

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In a typical presentation of intracavernous internal carotid artery aneurysm and cavernous sinus infection there is involvement of 3rd, 4th and 6th cranial nerves along with 2nd and 5th cranial nerve. Here we present a case of a 32 years old male with unilateral mycotic intracavernous internal carotid artery aneurysm with a history of head injury. Atypical features in this case was involvement of distantly situated multiple cranial nerves and sparing the 5th cranial nerve and optic nerve which are more near and commonly involved. Besides this patient has marked sphenoid sinusitis on left side but having no sign and symptoms.

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Section: Discussionsupporting

confidence: 93%

Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm

Pant

Joshi

Isser

2012

Indian J Otolaryngol Head Neck Surg

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“…Cranial nerve involvement results in pupillary dilatation, complete ophthalmoplegia and hypoesthesia in the distribution of trigeminal nerve with obliteration of corneal reflex. Involvement of the facial nerve—as in our patient—is an extremely rare manifestation of septic CST in the absence of otogenic infection 5. It is presumed that is due to the elevated pressure in the nerve’s satellite vein provoking transient neurapraxia 6.…”

Section: Discussionmentioning

confidence: 58%

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

et al. 2019

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We report a case of septic thrombosis of the right cavernous sinus in a diabetic woman in her late 70’s due to ipsilateral sphenoid sinusitis. The diagnosis was delayed and made only after the abrupt and dramatic appearance of the manifestations of sinus thrombosis. The patient developed, among the other symptoms, right peripheral facial palsy, which is a very rare manifestation in cavernous sinus thrombosis (CST). She was treated with broad-spectrum antibiotics and enoxaparin. The day of the scheduled drainage of sphenoid sinus—24 hours after the initiation of anticoagulation—she developed fatal subarachnoid haemorrhage. Our case demonstrates the difficulty of timely diagnosis of acute sphenoid sinusitis which has emerged as the most common primary infectious source potentially leading in CST. It also underscores the uncertainty concerning the use of anticoagulation in cerebral sinus thrombosis of infectious origin.

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“…IV HB) in that patient. Ramanand et al mentioned that 7th nerve palsy in cavernous sinus thrombosis has not been reported in the literature [9]. According to Straub et al, facial nerve palsy in cavernous sinus thrombosis is very rare and little is known about its pathophysiology [10].…”

Section: Discussionmentioning

confidence: 99%

Ophthalmological Manifestations of ENT Diseases: An Overview

Ghosh

Khanna

Baruah

2011

Indian J Otolaryngol Head Neck Surg

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A total number of 62 cases of ophthalmological manifestations caused by various ENT diseases, mostly paranasal tumour extensions, nasopharyngeal tumour and furunculosis of nose were analysed in a retrospective study in relation to their age, sex, clinical, radiological and HP profile. CT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of the disease. A close cooperation is needed between otolaryngologist and ophthalmologist to overcome this challenge.

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An atypical presentation of cavernous sinus thrombosis

Cited by 12 publications

References 12 publications

Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm

Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

Ophthalmological Manifestations of ENT Diseases: An Overview

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