Τίτλος:
Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Συγγραφείς:
Dolapsakis, C.
Kranidioti, E.
Katsila, S.
Samarkos, M.
Περιοδικό:
BMJ Case Reports
Εκδότης:
BMJ Publishing Group
Λέξεις-κλειδιά:
antibiotic agent; clopidogrel; enoxaparin; glucose; insulin; irbesartan; meropenem; metformin; metronidazole; paracetamol; sitagliptin; sultamicillin; vancomycin, aged; Article; bacteriuria; brain hemorrhage; case report; cavernous sinus thrombosis; cerebrospinal fluid analysis; chemosis; clinical article; clinical feature; computer assisted tomography; coronary artery disease; delayed diagnosis; diabetes mellitus; drug use; exophthalmos; facial nerve paralysis; female; follow up; Glasgow coma scale; glucose blood level; headache; human; hyperglycemia; ipsilateral sphenoid sinusitis; lumbar puncture; ophthalmoplegia; pleocytosis; priority journal; pyuria; sinusitis; subarachnoid hemorrhage; surgical drainage; urinalysis; urinary urgency; cavernous sinus; cavernous sinus thrombosis; complication; diagnostic imaging; differential diagnosis; fatality; sinusitis; subarachnoid hemorrhage; x-ray computed tomography, Aged; Cavernous Sinus; Cavernous Sinus Thrombosis; Delayed Diagnosis; Diagnosis, Differential; Fatal Outcome; Female; Humans; Sphenoid Sinusitis; Subarachnoid Hemorrhage; Tomography, X-Ray Computed
DOI:
10.1136/bcr-2018-227302
