Septic thrombosis of the cavernous sinus
Keywords:
cavernous sinus thrombosis, cellulitis, sinusitisAbstract
Introduction: Septic thrombosis of the cavernous sinus is a rare disease, described as thrombophlebitis in the cavernous sinus, caused by facial infections in the middle third of the face. It can present as an acute fatal condition.
Objective: To describe the symptoms and evolution of a patient with septic thrombosis of the cavernous sinus.
Clinical Case: A 17-year-old male patient with a history of apparent health, treated in emergency for pain and increased volume in the right hemiface after trying to extract a molar from the upper arch on that same side, with a fork. Septic thrombophlebitis of the cavernous sinus was diagnosed; he was admitted to the intensive care unit, the evolution was unfavorable and the patient died.
Conclusions: Cavernous sinus thrombosis is rare, however, its evolution endangers the patient's life. The characteristic signs in this case were periorbital edema, proptosis and panophthalmoplegia. Its high lethality requires a rapid and accurate diagnosis.
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Pons CN, Pacheco ZR, Pacheco TÁ, Tabilo CP, Valdés PC. Trombosis del seno cavernoso derecho secundaria a rinosinusitis esfenoidal. Reporte de caso [Internet]. Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2019 [acceso: 06/06/2023]; 79(2):199-206. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S07184816201-9000200199&lng=es
Patiño Arboleda M, Muñoz JF, Ocampo JM, Calzada MT, Cárdenas Prieto JM. Trombosis bilateral del seno cavernoso en un paciente con enfermedad periodontal y diabetes mellitus. Descripción de un caso [Internet]. Duazary. 2021 [acceso: 06/06/2023];18(3):328-33. Disponible en: http://revistas.unimagdalena.edu.co/index.php/duazary/article/view/4-239/3146
Cho JY, Kim HM, Ryu JY. Cavernous sinus thrombosis progression from trismus [Internet]. J Korean Assoc Oral Maxillofac Surg. 2015 [acceso: 06/6/2023]; 41(1): 43-7. Disponible en: https://synapse.koreamed.org/articles/1091891
Navazo Eguia AI. Tromboflebitis del seno cavernoso. A propósito de un caso [Internet]. Revista de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja. 2010 [acceso: 06/06/2023]; 1(6): 1-8 Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=3686692
Bui FQ, Coutinho CL, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease [Internet]. Biomedical Journal. 2018 [acceso: 06/06/2023]; 42(1): 27-35. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468093/pdf/main.pdf
Méndez Ramírez E, Chacón Arce PP. Trombosis séptica de senos cavernosos secundarios a celulitis facial [Internet]. CS. 2020 [acceso: 06/06/2023]; 4(6): 94-97. Disponible en: http://revistacienciaysalud.ac.cr/ojs/index.php/cienciaysalud/article/-view/228/322
Bhatia H, Kaur R, Bedi R. MR imaging of cavernous sinus thrombosis [Internet]. Eur J Radiol Open. 2020 [acceso: 06/06/2023];7: [aprox. 19 p.] Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057197/pdf/main.pdf
Matthew TJH, Hussein A. Atypical Cavernous Sinus Thrombosis: A Diagnosis Challenge and Dilemma [Internet]. Cureus. 2018 [acceso: 06/06/2023]; 10(12):4-9. Disponible en: https://pdfs.semanticscholar.org/064d/e60ef752c0928f8a93c284c7-3388d1a1c9b0.pdf
Geng B, Wu X, Malhotra A. Lateral rectus atrophy in cavernous sinus thrombosis. Clin Neuroradiol. 2019;29(2):371- 4. DOI: 10.1007/s00062-018-0729-6
Dolapsakis C, Kranidioti E, Katsila S, Samarkos M. Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis [Internet]. BMJ Case Rep. 2019 [acceso: 06/06/2023]; 12(1):1-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352844/pdf/bcr-2018-227302.pdf
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