Cavernous sinus thrombophlebitis caused by a dental infection: A case report

2021 ◽  
Vol 7 (04) ◽  
pp. 01-04
Author(s):  
Chantal Ngoune
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Motor Nerve ◽  
Case Series ◽  
Dental Infection ◽  
Mortality And Morbidity ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Magnetic Resonance Imaging Mri ◽  
Enhanced Computed Tomography

Septic cavernous sinus thrombosis (CST) is a rare, life-threatening complication of infections of any of the tissues drained by the cavernous sinus such as the mid-face, orbit and sinuses. With the introduction of antibiotics, the mortality and morbidity rates have significantly reduced although they remain high. The necessity of an early diagnosis and appropriate treatment is therefore of great importance. Clinical presentation includes proptosis, chemosis, ocular motor nerve palsy, and sensitive disorders. Imaging investigations, such as contrast enhanced computed tomography (CT) and magnetic resonance imaging (MRI) have had a significant impact on the diagnosis. This condition is rare and after literature review, we found very few case series and some cases reports. We herein share a case of cavernous sinus thrombophlebitis caused by a dental infection.

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

S250 – Otogenic Lateral Sinus Thrombosis: A Review of 7 Cases

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P158-P159 ◽  
Author(s):  
Jesse T. Ryan ◽  
Diego A Preciado ◽  
Maria T Pena ◽  
George H Zalzal
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Case Series ◽  
Sigmoid Sinus ◽  
Tube Placement ◽  
Right Visual Field ◽  
Lateral Sinus ◽  
Cavernous Sinus Thrombosis ◽  
Lateral Sinus Thrombosis ◽  
Intracranial Complications

Objectives Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media (OM). Mortality rates for LST are quoted as 8–25% in most recent larger case series. Controversy exists regarding the surgical and medical management of LST. We sought to clarify this by reviewing our experience in patients who presented with otogenic LST in the past 5 years. Methods A retrospective chart review was conducted. 7 patients were identified and charts were examined for presentation, co-existing intracranial complications, treatment, cultured organisms, and outcome. Results Patients most commonly presented with fever (5/7), otalgia (5/7), and mastoid tenderness (4/7). Co-existing intracranial complications were present in 4/7 patients, including meningitis (1/7), epidural abscess (2/7), otitic hydrocephalus (2/7), and cavernous sinus thrombosis (1/7). All patients received IV antibiotics and underwent mastoidectomy with unroofing of the sigmoid sinus, and tympanostomy tube placement. Thrombectomy was not performed on any patient. Anticoagulation was used on 5/7 patients without complication. Streptococcus sp. was the most common organism isolated (2/7). All patients recovered well without major sequelae. One patient with cavernous sinus thrombosis and otitic hydrocephalus had a persistent right visual field deficit. Conclusions In this limited series, we demonstrate good outcomes by emergently treating LST from an otitic source with mastoidectomy and unroofing of the sigmoid sinus, IV antibiotics, and selective anticoagulation. We did not find thrombectomy to be necessary.

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

2014 ◽  
Vol 40 (4) ◽  
pp. 195 ◽  
Author(s):  
Gi-Sung Yeo ◽  
Hyun Young Kim ◽  
Eun-Jung Kwak ◽  
Young-Soo Jung ◽  
Hyung-Sik Park ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Dental Infection

scholarly journals Evidence-based treatment of cavernous sinus meningioma

2019 ◽  
Vol 10 ◽  
pp. 228
Author(s):  
Javad Hekmatpanah
Keyword(s):  
Cavernous Sinus ◽  
Radiation Treatment ◽  
Mortality And Morbidity ◽  
Evidence Based Treatment ◽  
Presenting Symptoms ◽  
Cavernous Sinus Meningioma ◽  
Patient Decision ◽  
Life Threatening ◽  
Wait And See ◽  
Slow Growing

Background: Cavernous sinus meningioma (CSM) causes gradual ophthalmoplegia and may eventually cause compression of the chiasma. The tumor is often histologically benign, slow growing, and seldom life threatening. Besides visual limitation, ophthalmoplegia causes emotional stress and disability. The tumor is commonly treated by operation, radiation, or both. While effective in varied degrees, the treatments, especially radical operation, are associated with unacceptable mortality and morbidity. The question remains as to what treatment approach is most conducive to longest survival with minimum disability. Methods: In five patients, operation, radiotherapy, or both were based on presenting symptoms or delayed based on a doctor–patient decision, seeking the most desirable and suitable option that potentially offers longer life with less disability. Results: Five patients were followed from over 2 to almost 5 decades: two patients are still alive, 25 and 28 years after craniotomy and radiation. One was treated conservatively for 15 years before requiring craniotomy and radiation. One was followed for 45 years without needing craniotomy or radiation, despite enlargement of the tumor. One was followed for 36 years after craniotomy. Patient did not have radiation. Craniotomy consisted of removing enough tumor to diminish symptoms without causing complications. There were no mortalities or complications. Conclusion: The patient number is not large enough to make a broad conclusion. However, the individualized treatments and long follow-ups, together with detailed literature review, suggest that CSM requires individualized staged treatments based on each patient’s condition. A period of “wait and see” before starting with either surgery or radiation treatment can benefit the patient.

scholarly journals Disseminated Cryptococcosis in a Non-HIV Patient in Singapore

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Jonathan See ◽  
Kok Choon Raymond Fong ◽  
Humaira Shafi
Keyword(s):  
Lupus Erythematosus ◽  
Pulmonary Involvement ◽  
Tertiary Hospital ◽  
Mortality And Morbidity ◽  
Therapeutic Modalities ◽  
Appropriate Treatment ◽  
Improved Outcomes ◽  
Atypical Clinical Presentation ◽  
Threatening Condition ◽  
Life Threatening

We present a case of disseminated cryptococcosis (DC) in a 71-year-old gentleman with systemic lupus erythematosus (SLE) on long-term corticosteroids. He initially presented with right arm cellulitis in a tertiary hospital in Singapore and was subsequently diagnosed with DC involving skin, meninges, blood, and possibly pulmonary involvement. He eventually succumbed to the disease despite prolonged antifungal therapy. Through this case, we wish to highlight an atypical clinical presentation of an uncommon infection and hope to share the importance of considering DC in the differential diagnosis of nonresolving cellulitis among immunocompromised individuals. Mortality and morbidity rates for this condition remain high despite appropriate treatment. Early diagnosis and treatment are crucial for improved outcomes. More research is needed to improve the therapeutic modalities for treatment of DC and to improve the clinical outcomes for this life-threatening condition.

scholarly journals Necrotizing Fasciitis of the Nose Complicated with Cavernous Sinus Thrombosis

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
D. Swaminath ◽  
R. Narayanan ◽  
M. A. Orellana-Barrios ◽  
B. Temple
Keyword(s):  
Bacterial Infection ◽  
Necrotizing Fasciitis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Subcutaneous Tissue ◽  
Cavernous Sinus Thrombosis ◽  
Early Use ◽  
The Face ◽  
Life Threatening ◽  
Empirical Antibiotics

Necrotizing fasciitis is a rapidly progressive life threatening bacterial infection of the skin, the subcutaneous tissue, and the fascia. We present a case of necrotizing fasciitis involving the nose complicated by cavernous sinus thrombosis. Few cases of septic cavernous sinus thrombosis have been reported to be caused by cellulitis of the face but necrotizing fasciitis of the nose is rare. It is very important to recognize the early signs of cavernous thrombosis. Treatment for septic cavernous sinus thrombosis is controversial but early use of empirical antibiotics is imperative.

Deep Space Neck Infections

2021 ◽  
Author(s):  
Tania Hassanzadeh ◽  
Jeremiah C. Tracy
Keyword(s):  
Necrotizing Fasciitis ◽  
Key Words ◽  
Surgical Management ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Cavernous Sinus Thrombosis ◽  
Lemierre Syndrome ◽  
Life Threatening ◽  
Deep Neck Space Infections ◽  
Fascial Spaces

Deep neck space infections are a common reason for otolaryngology consultation. The anatomic spaces and their relationships are complex, and inappropriately treated infections may pose life-threatening consequences. It is critical for the practicing otolaryngologist to understand the boundaries and contents of the fascial spaces, microbiology of involved organisms, clinical workup, indications for medical and surgical management, and potential complications. This review contains 15 figures, 3 tables and 25 references.  Key Words: Nodes of Rouviere, Danger space, Ludwig’s angina, Lemierre syndrome, Cavernous sinus thrombosis, Necrotizing fasciitis, Bezold abscess

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