Cavernous sinus thrombosis caused by a dental infection: a case report

Yeo, Gi-Sung; Kim, Ho; Kwak, Eun-Jung; Jung, Young-Soo; Park, Hyung-Sik; Jung, Hyo Young

doi:10.5125/jkaoms.2014.40.4.195

Cited by 15 publications

(7 citation statements)

References 13 publications

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“…The septic thrombose transfers via valveless veins from paranasal sinusitis and odontogenic infections sources. Some facial infections with trismus can be mistaken as temporomandibular joint arthralgia and myofascial pain. Patients with compromised medical conditions like uncontrolled diabetic mellitus are more susceptible to more rapid progression of the infection and less survivability as shown in the present case and previous reports.…”

Section: Discussionsupporting

confidence: 64%

Fatal septic cavernous sinus thrombosis following dental extraction: a case report

et al. 2019

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Cavernous sinus thrombosis is a rare complication of odontogenic infection. A coexistence of compromised medical condition would reduce the patient survivability. In this context, we reported a 66-yearold female who developed an odontogenic infection and cavernous sinus thrombosis within 1 day after an upper tooth extraction. Considered as a life-threatening complication status of odontogenic infection, the patient was referred to the emergency medicine department for intensive care with differential diagnosis of cavernous sinus thrombosis and masticator space infection. It was revealed that the patient had an uncontrolled diabetes mellitus and acute kidney injury. Later the patient developed a septic shock and died in almost 2 days since the tooth extraction. This makes it very important for the dentists to raise suspicion of uncontrolled status in those patients with history of diabetes mellitus and manage them carefully with proper antibiotic cover when undergoing dental procedures. Clinical relevanceTooth extraction is one of the most common oral surgery procedures. This case report urges the highest caution when performing it in non-controlled diabetic mellitus patients.Oral Surgery 12 (2019) 153--158.

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Section: Discussionsupporting

confidence: 64%

Fatal septic cavernous sinus thrombosis following dental extraction: a case report

et al. 2019

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“…CVST after dental infection is scarcely reported and may have been a contributing factor. 6,7 In addition, there are also minimal reports of CVST in association with alcohol intoxication and withdrawal which could also be a contributing factor. 5,8,9 However, the diagnosis of CVST may be missed in a patient with alcohol withdrawal symptoms due to the shared symptoms with veisalgia and intoxication, such as nausea, vomiting, and headaches.…”

Section: Discussionmentioning

confidence: 99%

Cerebral Venous Sinus Thrombosis in a Patient With Alcohol Withdrawal Symptoms

Vashi

Boi²,

Bhatia

et al. 2022

The Neurologist

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Introduction: Cerebral Venous Sinus Thrombosis (CVST) remains a challenge to diagnose due to its rarity and nonspecific symptomatology. We have found alcohol withdrawal can display symptoms similar to CVST. We present a unique case of intraparenchymal hemorrhage secondary to an extensive CVST in a patient presenting with symptoms suggestive of alcohol withdrawal. Case Report: A 33-year-old woman with a history of alcohol dependence presented with a worsening headache and right upper dental pain. She denied any trauma and attributed the headache to alcohol withdrawal. She denied consuming alcohol in the last 24 hours but reported a daily intake of 20 oz of whiskey. Physical examination noted dental caries and a normal neurological examination. Laboratory values indicated leukocytosis with neutrophilia and microcytic anemia. Computed tomography brain without contrast was conducted to rule out head trauma, revealing a 1.2 cm intraparenchymal hemorrhage in the left frontal lobe with local edema. Neurosurgery recommended a computed tomography angiography, which demonstrated contrast filling defects consistent with CVST (confirmed by magnetic resonance venography). The patient was admitted to the intensive care unit; during her hospital course, further testing revealed heterozygous methylenetetrahydrofolate reductase mutation and elevated homocysteine levels. Patient underwent acute treatment with enoxaparin bridged to apixaban. Patient was discharged on day 7 neurologically intact with the improvement of all symptoms. Conclusion: This unique presentation of CVST alongside alcohol withdrawal symptoms highlights the importance of recognizing atypical presentations of CVST in higher-risk patient populations. A heightened index of suspicion for the wide range of presentations of CVST is necessary to assess, diagnose, and treat at-risk patients.

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“…Trauma wounds are usually contaminated or dirty. Some unusual yet possible consequences of maxillofacial infections are acute osteomyelitis, infected cavernous sinus thrombosis, and necrotizing cervical fasciitis [ 2 ]. As a higher prevalence of infections is observed in maxillofacial trauma wounds, starting intravenous "prophylactic" antibiotics is one of the first-line therapies after the patient arrive at the hospital.…”

Section: Discussionmentioning

confidence: 99%

Unusual Bilateral Impalement Injury with Rusted Iron Bars on Face and Neck

Suh

Pak

Hong

et al. 2015

Arch Craniofac Surg

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Impalement injury is the subset of penetrating trauma, defined as fixed, elongated objects penetrate and remain in the human body cavity or region by relatively low velocity. We report an unusual case of facial and neck impalement where two dirty rusted iron bars penetrated forehead bilaterally and exited neck and ear respectively without causing major organ injuries. After thorough radiologic and physical evaluation, the patient got medical and surgical treatment. The patient was discharged without complication after four day of delayed wound closure. There have been no complications and sequelaes related with trauma, wound infection and scar contracture at 3-year follow-up. According to affected organs and pattern of impalement, individualized and multidisciplinary surgical approach should be considered. Following these guidelines as in this case, it was possible to achieve excellent clinical outcome in impalement injury.

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Cavernous sinus thrombosis caused by a dental infection: a case report

Cited by 15 publications

References 13 publications

Fatal septic cavernous sinus thrombosis following dental extraction: a case report

Fatal septic cavernous sinus thrombosis following dental extraction: a case report

Cerebral Venous Sinus Thrombosis in a Patient With Alcohol Withdrawal Symptoms

Unusual Bilateral Impalement Injury with Rusted Iron Bars on Face and Neck

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