Abstract
The cavernous sinus is the most frequent dural sinus to become infected and thrombosed. Septic cavernous sinus thrombosis has become rare since the advent of antibiotics. We herein present a case of septic cavernous sinus thrombosis caused by chronic bacterial sinusitis.
Highlights
The cavernous sinus is the most frequent dural sinus to become infected and thrombosed [1]
Septic cavernous sinus thrombosis has become rare since the advent of antibiotics
We present a case of septic cavernous sinus thrombosis caused by chronic bacterial sinusitis
Summary
The cavernous sinus is the most frequent dural sinus to become infected and thrombosed [1] It is most centrally located of the dural sinuses, positioned just lateral to the base of the sella turcica and to the sphenoid air sinuses. There are three common sites of infection which can spread to cavernous sinus, one of which is from paranasal sinuses that includes ethmoid, maxillary and sphenoid sinuses. The differential diagnosis included migraine, glaucoma, cavernous sinus thrombosis due to visual loss, stroke, and invasive fungal sinusitis due to history of underlying diabetes mellitus. On repeat CT head (Figure 1), CT angiogram and venogram of the brain (Figure 2) showed findings consistent with invasive fungal sinusitis involving the right paranasal sinuses with large areas of bony dehiscence involving the right sphenoid sinus, ethmoid air cells, and right maxillary sinus. He was later discharged to inpatient rehabilitation facility and completed four weeks of intravenous antibiotics
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
