scholarly journals Horner Syndrome as Complication of Acute Sphenoid Sinusitis

2019 ◽  
Vol 11 (1) ◽  
pp. 112-116 ◽  
Author(s):  
Christoph Käcker ◽  
Franca Wagner ◽  
Marco Caversaccio ◽  
Lukas Anschuetz
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Nerve Palsy ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Cavernous Sinus Thrombosis ◽  
Horner Syndrome ◽  
Sphenoid Sinusitis

Horner syndrome is described in this case report as a rare complication of bacterial sphenoid sinusitis. A patient presented with miosis, ptosis, and ophthalmic nerve palsy with acute sphenoid sinusistis and cavernous sinus thrombosis on MRI. The impairment of sympathetic fiberscan can be explained through the direct septic effects of the sphenoid sinusitis and indirectly through thrombosis of the cavernous sinus at the level of the carotid plexus.

Acute sphenoid sinusitis leading to contralateral cavernous sinus thrombosis: a case report

2013 ◽  
Vol 127 (8) ◽  
pp. 814-816 ◽  
Author(s):  
S R Dyer ◽  
P J Thottam ◽  
S Saraiya ◽  
M Haupert
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Treatment Options ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis ◽  
Comprehensive Literature Review ◽  
Intravenous Antibiotics ◽  
Diagnostic Work ◽  
Work Up

AbstractIntroduction:The objective of this article was to report a case of isolated, acute, right-sided sphenoid sinusitis that progressed to contralateral cavernous sinus thrombosis in an 18-year-old male patient. We describe the atypical presentation of this case and discuss the relevant anatomy, pathogenesis, presentation, diagnostic evaluation and treatment.Case report:A case report of sphenoid sinusitis leading to contralateral cavernous sinus thrombosis was reviewed and presented along with a comprehensive literature review of the relevant anatomy, pathophysiology, microbiology, diagnostic work-up and treatment options.Conclusion:Cavernous sinus thrombosis is a rare clinical entity in the antibiotic era. However, limited sphenoid sinusitis may progress to cavernous sinus thrombosis in spite of maximal medical treatment, as highlighted in this case report. The mainstay of treatment includes early diagnosis allowing aggressive intravenous antibiotics and appropriate surgical management.

scholarly journals 501 Lateral Rectus Muscle Palsy Secondary to Sphenoid Sinusitis: A Case Report and Literature Review

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
W S Leong ◽  
O Mulla
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Paranasal Sinus ◽  
Cavernous Sinus ◽  
Sphenoid Sinus ◽  
Sinus Thrombosis ◽  
Lateral Rectus ◽  
Cavernous Sinus Thrombosis ◽  
Sinus Disease ◽  
Sphenoid Sinusitis

Abstract Background Isolated sphenoid sinus disease (ISSD) is a rare, often misdiagnosed condition of the paranasal sinus. If left untreated, it can lead to complications involving pituitary gland, cavernous sinus, neurologic, and vascular structures nearby. Case report We present a case of a 60-year-old female with a history of severe left-sided headache, facial pain, diplopia, and left lateral rectus palsy. She was initially referred to ophthalmology and rheumatology for possible giant cell arteritis. MRI scans revealed opacification in left sphenoid sinus consistent with left sphenoid sinusitis. There were no signs of cavernous sinus thrombosis. She was then referred to ENT and underwent endoscopic transnasal sphenoidotomy procedure. Culture results showed Haemophilus Influenza and fungal pseudohyphae. Her palsy and headaches recovered completely 3 months later with a course of antibiotics and antifungals. Literature review for lateral rectus palsy secondary to sphenoid sinusitis without cavernous sinus thrombosis showed it is not a common condition and this case report should serve as a reminder to consider paranasal sinus disease when assessing these patients. Conclusions The onset of ISSD is often insidious and diagnosis of this condition remains a challenge. MRI and CT imaging remain the gold standard for recognising and managing this condition.

scholarly journals Cavernous sinus thrombosis caused by contralateral sphenoid sinusitis: a case report

2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Hiroaki Komatsu ◽  
Fumihiko Matsumoto ◽  
Misato Kasai ◽  
Kaori Kurano ◽  
Daisuke Sasaki ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis

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

Oral Surgery ◽  
2019 ◽  
Vol 12 (2) ◽  
pp. 153-158
Author(s):  
Akram Abdo Almansoori ◽  
Han‐Wool Choung ◽  
Jo‐Eun Kim ◽  
Bongju Kim ◽  
Soung‐Min Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Dental Extraction ◽  
Cavernous Sinus Thrombosis

Diagnostic difficulties in a patient with multiple sclerosis who presents with cranial nerve palsies: an unusual complication of dental work

2020 ◽  
Vol 13 (10) ◽  
pp. e232903
Author(s):  
Jennifer Cathcart ◽  
Rebecca Caitlin Johnson ◽  
Nicholas Hughes ◽  
Manish Patel
Keyword(s):  
Multiple Sclerosis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Unusual Complication ◽  
Cavernous Sinus Thrombosis ◽  
Dental Abscess ◽  
First Case ◽  
Cranial Nerve Palsies ◽  
Diagnostic Difficulties

A woman in her 60s with multiple sclerosis (MS) presented with right-sided ptosis, right sixth nerve palsy, right facial paraesthesia and signs of sepsis. She had a recent diagnosis of a dental abscess. Investigations revealed a right submasseter abscess leading to bacterial meningitis (Streptococcus intermedius) and a cavernous sinus thrombosis. She was managed in intensive care and underwent surgical drainage of the abscess. Anticoagulation for 6 months was planned. Cavernous sinus thrombosis is a very rare complication of a dental abscess, and even less frequently associated with submasseter abscesses. The case was complicated by a history of MS, to which the patient’s symptoms and signs were initially attributed to. This case highlights the diagnostic pitfalls, and aims to enhance learning around similar cases. To the best of our knowledge, this is the first case report of a masseter/submasseter abscess leading to cavernous sinus thrombosis.

scholarly journals Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis

2019 ◽  
Vol 12 (1) ◽  
pp. e227302 ◽  
Author(s):  
Christodoulos Dolapsakis ◽  
Eleftheria Kranidioti ◽  
Sofia Katsila ◽  
Michael Samarkos
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Diabetic Woman ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis ◽  
Peripheral Facial Palsy ◽  
Infectious Origin ◽  
Rare Manifestation ◽  
Cerebral Sinus ◽  
The Right

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.

scholarly journals Cavernous sinus thrombosis in a COVID-19 patient: A case report

2021 ◽  
Vol 16 (3) ◽  
pp. 480-482
Author(s):  
Anass Khacha ◽  
Siham Bouchal ◽  
Ayoub Ettabyaoui ◽  
Meriem Haloua ◽  
Youssef Alaoui Lamrani ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis

scholarly journals Corrigendum: Cavernous sinus thrombosis caused by a dental infection: a case report

2014 ◽  
Vol 40 (5) ◽  
pp. 258
Author(s):  
Gi-Sung Yeo ◽  
HyunYoung Kim ◽  
Eun-Jung Kwak ◽  
Young-Soo Jung ◽  
Hyung-Sik Park ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Dental Infection
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