Клинический случай тяжелых офтальмологических проявлений тромбоза кавернозного синуса

Abstract

In rare cases, cavernous sinus thrombosis can occur against the background of an even rarer disease – carotid-cavernous fistula. The carotid-cavernous fistula is a direct communication between the intracavernous part of the carotid artery and the cavernous sinus. The clinical picture of cavernous sinus thrombosis due to carotid-cavernous fistula may not have classic symptoms and cause difficulties in making a diagnosis, which can lead to incorrect treatment tactics. The presented clinical case demonstrates the nuances of differential diagnosis of cavernous sinus thrombosis against the background of carotid-cavernous fistula. Timely collection and analysis of complaints, anamnesis data, interpretation of objective examination data, results of the necessary instrumental research methods, coordinated work of doctors of various specialties (ophthalmologist, neurologist and neurosurgeon) will make it possible to establish an accurate diagnosis in a timely manner and prescribe an effective treatment for a favorable outcome of this pathology. Keywords: cavernous sinus thrombosis, carotid-cavernous fistula, ophthalmic manifestations, chemosis, diagnostics