scholarly journals Cavernous sinus thrombosis related to sphenoid sinusitis in a child

2021 ◽  
Vol 193 (20) ◽  
pp. E737-E737
Author(s):  
Nobuhiko Ohashi ◽  
Akihiro Otsuka ◽  
Kanji Yamamoto
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis

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 A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis

2019 ◽  
Vol 31 (1) ◽  
pp. 63
Author(s):  
Jui-Hsia Chen ◽  
Ming-Chun Chen ◽  
Yu-Huai Ho ◽  
Pau-Nyen Chong
Keyword(s):  
Cavernous Sinus ◽  
Rare Case ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis

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 Sphenoethmoidal Sinusitis Complicated by Cavernous Sinus Thrombosis and Pontocerebellar Infarction

1988 ◽  
Vol 15 (3) ◽  
pp. 310-313 ◽  
Author(s):  
Robert L. Macdonald ◽  
J. Max Findlay ◽  
Charles H. Tator
Keyword(s):  
Cavernous Sinus ◽  
Unusual Case ◽  
Sinus Thrombosis ◽  
Cerebellar Infarction ◽  
Cavernous Sinus Thrombosis ◽  
Neurological Manifestations ◽  
Surgical Drainage ◽  
Sphenoid Sinusitis ◽  
Intracranial Complications

ABSTRACT:An unusual case of sphenoethmoidal sinusitis complicated by cavernous sinus thrombosis, meningitis and pontine and cerebellar infarction is described. The patient presented with advanced intracranial complications which in retrospect caused delay in recognition and treatment of the underlying sphenoethmoidal sinusitis. Surgical drainage of the sinusitis was ultimately required. The pathogenesis of these complications is discussed, and the topic of sphenoid sinusitis reviewed in order to emphasize the numerous neurological manifestations of this disease.

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 as a serious complication of sphenoid sinusitis in children

2021 ◽  
Author(s):  
Lícia Apoline Santos Marques ◽  
Iago Antunes Macedo de Souza ◽  
Luís Gustavo Miranda Cavalcante Farias ◽  
Ellem Silva Pestana ◽  
Paula Sabrina Martins Gomes da Rocha ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Paranasal Sinuses ◽  
Sphenoid Sinus ◽  
Sinus Thrombosis ◽  
Sella Turcica ◽  
Primary Source ◽  
Cavernous Sinus Thrombosis ◽  
Sphenoid Sinusitis ◽  
The Face ◽  
Septic Thrombosis

Introduction:The cavernous sinus is a venous plexus delimited by the dura mater and sited at the base of skull, laterally to the sella turcica and to the sphenoid sinus. The cavernous sinus thrombosis (CST) is a serious illness that may result from infection of any tissue drained by the cavernous sinus (septic thrombosis). Septic thrombosis (ST) may occur through the suppurative process by the level of the orbit, of the upper half of the face or paranasal sinuses , constituting a critical complication of sinusitis. Objectives: To verify the association between cavernous sinus thrombosis and sphenoid sinusitis in children, in the bibliographic productions of the last 10 years. Methods:This is an integrative literature review, with a search carried out in the database of the Medical Literature and Retrieval System onLine (MEDLINE), using a combination of the following Health Sciences Descriptors (DECS): “Sphenoid Sinusitis” and “Thrombosis” And “ Cavernous sinus” in “ Children ”. Incomplete studies were excluded from the research, carried out before 2012, totaling 7 bibliographic studies for detailed analysis. Results:CST can result from infection of any tissue drained from the cavernous sinus. This includes the face, tonsils, soft palate, teeth and ears.Only 15% of cases of CST in patients up to 12 years of age, originated from the paranasal sinuses. However, more recent studies advance that sinusitis is currently the most common etiology. When the sinuses are the cause of CST, the sphenoid sinus emerged as the most common primary source of infection predisposing to CST, since it has important anatomical relationships with the cavernous sinus. Streptococcus has been reported as the most common organism associated with sphenoid sinusitis. Conclusion:Although CTS is a rare clinical condition, acute and persistent sphenoid sinusitis can progress to such a condition, despite medical treatment. The main support of treatment includes early diagnosis, aggressive intravenous antibiotics and appropriate surgical treatment.

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.

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