scholarly journals Cavernous Sinus Thrombosis as Complications of Cellulitis Orbital: Case Report

2021 ◽  
Vol 8 (10) ◽  
pp. 248-251
Author(s):  
Astari Arum Cendani Goller ◽  
Kumara Tini
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
High Morbidity ◽  
Cavernous Sinus Thrombosis ◽  
Blurred Vision ◽  
The Face ◽  
History Of ◽  
Laboratory Investigations ◽  
Visual Complaints

Background: Cavernous sinus thrombosis is a complication of infection around the face or paranasal sinuses with high morbidity and mortality rates. Cavernous sinus thrombosis is generally caused by septic infection, such as orbital cellulitis. Case Illustrations: A 35-year-old male who came to the neurology polyclinic complained of swelling in the left eyelid, red, watery eyes, blurred vision, difficulty opening the left eye, and the movement of the left eyeball felt normal. The patient had a history of left orbital cellulitis. Laboratory investigations showed an increase in inflammatory markers. The CT scan with contrast showed a hyperdense lesion in the left orbit, suggesting orbital cellulitis. The patient was diagnosed with a cavernous sinus thrombosis due to orbital cellulitis. He was treated with an antibiotic, anticoagulant, and corticosteroid. Three months after treatment, the visual complaints improved, the headache decreased drastically, and we did not find any extraocular muscles weakness. Conclusions: The administration of antibiotics and anticoagulant therapy in patients with cavernous sinus thrombosis has been proven clinically. The use of corticosteroids has not been proven but is strongly suspected to reduce edema caused by compression of the cavernous sinus. Keywords: Cavernous sinus thrombosis, orbital cellulitis. infections.

Cavernous Sinus Thrombosis and Orbital Cellulitis

1971 ◽  
Vol 64 (10) ◽  
pp. 1243-1247 ◽  
Author(s):  
C DOWNEY PRICE ◽  
STEPHEN B. HAMEROFF ◽  
R D RICHARDS
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
Cavernous Sinus Thrombosis

scholarly journals Septic Cavernous Sinus Thrombosis due to Pneumococcal Meningitis in A 6 Months Infant

2021 ◽  
Author(s):  
Kauan Alves Sousa Madruga ◽  
Luiz Fernando Melo Lima ◽  
Pedro Victor Oliveira Araújo ◽  
Vitória Bittencourt de Carvalho ◽  
Bruna Da Cruz Beyruth Borges
Keyword(s):  
Cavernous Sinus ◽  
Pneumococcal Meningitis ◽  
Sinus Thrombosis ◽  
Thrombus Formation ◽  
Cranial Nerves ◽  
Cavernous Sinus Thrombosis ◽  
Infection Focus ◽  
History Of ◽  
Eye Opening ◽  
Clinical Thinking

Context: Septic Cavernous Sinus Thrombosis (CST) is a rare and potentially lethal illness that clinicians still occasionally see. We describe the evolution of a 6 months old infant patient who had a history of delayed vaccination and acquired a Pneumococcal Meningitis, leading to septic CTS. Case report: The patient was admitted with the complaint of constant crying and vomiting. The physical exam noticed: bulging of the bregmatic fontanelle, Glasgow Coma Score = 11, and bad general state. The clinical picture had begun one week before the hospitalization, but the fever had started just three days before. The vaccine neglection plus some pathological signs of meningeal infection guided the clinical thinking to meningitis, later confirmed by the lumbar puncture. Some days later, the patient presented paralysis of the third pair of cranial nerves, conducing to the inability to open the eyes, mydriatic non-photo reagent pupils, and bilateral swelling. A magnetic resonance confirmed thrombosis of traverse sinus along with the transition to the sigmoid one. Bilateral ptosis and exotropia were noticed. Antibiotic therapy resulted in progressive eye-opening and recurrence of photo reagent reflexes. The prognosis was great, pointed by the normotension and normal amplitude of the bregmatic fontanelle. Conclusion: The elimination of the meningeal infection focus was extremely important, since the pathophysiology of CST came from phlebitis of the cavernous sinuses, with consequent thrombus formation from the endothelial lesion. In addition, it is worth mentioning the omission of vaccination, which was concessive to the case.

Septic Cavernous Sinus Thrombosis Associated With Orbital Cellulitis

2019 ◽  
Vol 35 (3) ◽  
pp. 272-280 ◽  
Author(s):  
Sara V. Branson ◽  
Elysa McClintic ◽  
R. Patrick Yeatts
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
Cavernous Sinus Thrombosis

scholarly journals Orbital cellulitis and cavernous sinus thrombosis secondary to necrobacillosis

Eye ◽  
2008 ◽  
Vol 23 (6) ◽  
pp. 1473-1474 ◽  
Author(s):  
V Hegde ◽  
D Mitry ◽  
D Mc Ateer ◽  
A Azuara-Blanco
Keyword(s):  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
Cavernous Sinus Thrombosis

DIAGNOSTICS OFPATIENTS WITH THROMBOEMBOLIC COMPLICATIONS OF THE VISUAL ORGAN OF RHINOSINUSOGENIC ETIOLOGY AT COVID 19

2021 ◽  
Vol 2 (1) ◽  
pp. 21-26
Author(s):  
Munirakhon Kasimova ◽  
◽  
Ravshanbek Umarov ◽  
Gavkhar Khamraeva
Keyword(s):  
Cavernous Sinus ◽  
Paranasal Sinuses ◽  
Blood Test ◽  
Sinus Thrombosis ◽  
Multiple Organ ◽  
Cavernous Sinus Thrombosis ◽  
The Face ◽  
Severe Infections ◽  
Coronavirus Infection ◽  
The Brain

Cavernous sinus thrombosis is one of the most severe infections of the face, orbit, ear, paranasal sinuses and oral cavity. The studyaims to analyse clinical cases of carotid-cavernous sinus thrombosis in patients with complications of COVID 19. An analysis of 2 clinicalcases with a diagnosis of cavernous sinus thrombosis in the presence of COVID 19 was carried out. General ophthalmic research methods (visometry, external examination, the study of pupillary reactions, ophthalmoscopy, palpation measurement of intraocular pressure), MRI, MSCT of the brain and chest,general blood test, coagulogram, biochemical blood test. These clinical examples show that cavernous sinus thrombosis develops as a complication of coronavirus infection. The cause of cavernous sinus thrombosis was inflammation of the paranasal sinuses, dry blood, diabetes mellitus. The cause of death was the development of multiple organ failure due to concomitant diseases and a decrease in patients' immune status

Orbital Complications of Rhinosinusitis in the Adult Population: Analysis of Cases Presenting to a Tertiary Medical Center Over a 13-Year Period

2019 ◽  
Vol 128 (6) ◽  
pp. 563-568 ◽  
Author(s):  
Aiman El Mograbi ◽  
Amit Ritter ◽  
Esmat Najjar ◽  
Ethan Soudry
Keyword(s):  
Chronic Rhinosinusitis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
Sinus Surgery ◽  
Cavernous Sinus Thrombosis ◽  
Surgical Drainage ◽  
Acute Rhinosinusitis ◽  
Orbital Wall ◽  
Orbital Complications

Background: Orbital complications of rhinosinusitis in adults are scarcely discussed in the literature. Objective: To review our experience with the management of orbital complications of rhinosinusitis in the adult patient population and identify key factors in the characteristics and management of these patients. Design: Retrospective case series during the years 2004 to 2016 in a tertiary referral center including all patients with rhinosinusitis and orbital complications. Main Outcomes and Measures: Severity of complications, risk factors, clinical, imaging and microbiological data, treatment outcomes. Results: Seventy patients were identified. Median age at diagnosis was 38 years. In 57%, complications were associated with acute rhinosinusitis and in 43% with chronic rhinosinusitis, most of whom had a history of previous sinus surgery. Thirty-five percent of patients received antibiotics prior to admission. The majority of the previously operated patients (61%) had some form of orbital wall dehiscence noted on imaging. Preseptal cellulitis was the most common complication (61.5%) encountered, followed by orbital cellulitis (23%), sub-periosteal abscess (11.5%), orbital abscess (3%), and cavernous sinus thrombosis (1.5%). Gram-positive bacteria were more commonly isolated from acute rhinosinusitis patients and gram-negative bacteria from chronic rhinosinusitis (CRS) patients. Complete recovery was noted in all patients, of whom 85% were managed conservatively. All, but 1 patient, with an abscess or cavernous sinus thrombosis required surgical drainage. Older age was the only risk factor identified for severe complications. Conclusions: In contrast to the pediatric population, CRS is very common in adults with orbital complications of rhinosinusitis, with previous sinus surgery and orbital wall dehiscence being noticeably common. Older patients are at risk for more severe complications. Conservative treatment suffices in patients with preseptal and orbital cellulitis. In more advanced stages, surgical drainage is advocated with excellent results. Larger cohort studies are needed to further investigate this patient group.

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.

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