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

被引：11

作者：

Dyer, S. R. ^{[1
]}

Thottam, P. J. ^{[1
]}

Saraiya, S. ^{[1
]}

Haupert, M. ^{[1
]}

机构：

[1] Childrens Hosp Michigan, Dept Otolaryngol Head Neck Surg & Facial Plast Su, Detroit, MI 48067 USA

来源：

JOURNAL OF LARYNGOLOGY AND OTOLOGY | 2013年 / 127卷 / 08期

关键词：

Cavernous Sinus Thrombosis; Sphenoid Sinusitis; Ophthalmoplegia; Paranasal Sinus Diseases; Intracranial; Complications; SEPTIC THROMBOSIS; SECONDARY;

D O I：

10.1017/S0022215113001527

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction: 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.

引用

页码：814 / 816

页数：3

共 8 条

[1] Septic cavernous sinus thrombosis secondary to sinusitis: are anticoagulants indicated? A review of the literature [J].