Septic Cavernous Sinus Thrombosis Complicated by Narrowing of the Internal Carotid Artery, Subarachnoid Abscess and Multiple Pulmonary Septic Emboli
Open Access
- 1 January 2007
- journal article
- case report
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 46 (6), 317-323
- https://doi.org/10.2169/internalmedicine.46.6202
Abstract
A 56-year-old woman was admitted because of a high fever, right ptosis, chemosis, proptosis and ocular muscle palsy. Cranial MRI revealed a cavernous sinus thrombosis and a subarachnoid abscess. Carotid angio-gram demonstrated marked stenosis as well as aneurismal formation of the right internal carotid artery at the intracavernous portion. Chest radiograph showed bilateral multiple pulmonary nodules, some of which contained a cavity. Blood culture was positive for Streptococcus constellatus. She was diagnosed with septic cavernous sinus thrombosis complicated by narrowing of the internal carotid artery, subarachnoid abscess and multiple pulmonary septic emboli. She recovered with partial ocular sequelae as a result of seven weeks of intravenous antimicrobial therapy.Keywords
This publication has 18 references indexed in Scilit:
- Septic Thrombosis of the Cavernous Sinus: Two Different MechanismsOrbit, 2006
- Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosisOphthalmology, 2003
- Contrast Agents for Magnetic Resonance ImagingTopics in Magnetic Resonance Imaging, 2003
- Septic cavernous sinus thrombosis secondary to sinusitis: are anticoagulants indicated? A review of the literatureThe Journal of Laryngology & Otology, 2002
- Trombose séptica do seio cavernoso: relato de seis casosArquivos de Neuro-Psiquiatria, 1999
- Cavernous Sinus Thrombophlebitis: Case ReportNeurosurgery, 1996
- Bacterial cavernous sinus aneurysm treated by detachable balloon technique.Stroke, 1989
- Septic Thrombosis of the Dural Venous SinusesMedicine, 1986
- Septic Cavernous Sinus Thrombosis Associated With Gingivitis and Parapharyngeal AbscessAmerican Journal of Ophthalmology, 1984
- Sphenoid SinusitisThe New England Journal of Medicine, 1983