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Sphenoethmoidal Sinusitis Complicated by Cavernous Sinus Thrombosis and Pontocerebellar Infarction

Published online by Cambridge University Press:  18 September 2015

Robert L. Macdonald ,
J. Max Findlay  and
Charles H. Tator
Robert L. Macdonald
Affiliation:
Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto
J. Max Findlay
Affiliation:
Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto
Charles H. Tator*
Affiliation:
Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto
*
Ste. 4-034, Edith Cavell Wing, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8
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Abstract:

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An unusual case of sphenoethmoidal sinusitis complicated by cavernous sinus thrombosis, meningitis and pontine and cerebellar infarction is described. The patient presented with advanced intracranial complications which in retrospect caused delay in recognition and treatment of the underlying sphenoethmoidal sinusitis. Surgical drainage of the sinusitis was ultimately required. The pathogenesis of these complications is discussed, and the topic of sphenoid sinusitis reviewed in order to emphasize the numerous neurological manifestations of this disease.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 15 , Issue 3 , August 1988 , pp. 310 - 313
Copyright
Copyright © Canadian Neurological Sciences Federation 1988

References

REFERENCES

1.Smith, BH. Infections of the cranial dura and the durai sinuses. In: Vinken, PJ, Bruyn, GW. Handbook of Clinical Neurology. Amsterdam, North Holland Pubi Co, Volume 33, Part I, Chapter 10, pp 149–186.Google Scholar
2.Fearon, B, Edmonds, B, Bird, R. Orbital-facial complications of sinusitis in children. Laryngoscope 1979; 89: 947–953.CrossRefGoogle ScholarPubMed
3.Holt, GR, Standefer, JA, Brown, WE Jr, et al. Infectious diseases of the sphenoid sinus. Laryngoscope 1984; 94: 330–335.CrossRefGoogle ScholarPubMed
4.Wyllie, JW III, Kern, EB, Djalilian, M. Isolated sphenoid sinus lesions. Laryngoscope 1973; 83: 1252–1265.CrossRefGoogle ScholarPubMed
5.Black, PM, Zervas, NT, Candia, GL. Incidence and management of complications of transsphenoidal operation for pituitary adenomas. Neurosurgery 1987; 20: 920–924.CrossRefGoogle ScholarPubMed
6.Abramovich, S, Smelt, GJC. Acute sphenoiditis, alone and in concert. J Laryngol Otol 1982; 96: 751–757.CrossRefGoogle ScholarPubMed
7.Lew, D, Southwick, FS, Montgomery, WW, et al. Sphenoid sinusitis: a review of 30 cases. N Engl J Med 1983; 309: 1149–54.CrossRefGoogle ScholarPubMed
8.Fujii, K, Chambers, SM, Rhoton, AL Jr. Neurovascular relationships of the sphenoid sinus: a microsurgical study. J Neurosurg 1979; 50: 31–39.CrossRefGoogle ScholarPubMed
9.Matsushima, T, Rhoton, AL Jr, de Oliveira, E, et al. Microsurgical anatomy of the veins of the posterior fossa. J Neurosurg 1983; 59: 63–105.CrossRefGoogle ScholarPubMed
10.Karlin, RJ, Robinson, WA. Septic cavernous sinus thrombosis. Ann Emerg Med 1984; 13: 449–455.CrossRefGoogle ScholarPubMed
11.Price, CD, Hameroff, SB, Richards, RD. Cavernous sinus thrombosis and orbital cellulitis. South Med 1971; 64: 1243–1247.CrossRefGoogle ScholarPubMed
12.Shaw, RE. Cavernous sinus thrombophlebitis: a review. Br J Surg 1952; 40: 40–47.CrossRefGoogle ScholarPubMed
13.Weisberger, EC, Dedo, HH. Cranial neuropathies in sinus disease. Laryngoscope 1977; 87: 357–363.CrossRefGoogle ScholarPubMed
14.Whitehead, E, De Souza, FM. Acute sphenoid sinusitis causing spasm of the internal carotid artery. Can J Otolaryngol 1974; 3: 216–218.Google ScholarPubMed
15.Caplan, LR. Vertebrobasilar Occlusive Disease. In: Barnett, HJM, Mohr, JR, Stein, BM, et al. Pathophysiology, Diagnosis and Management. New York, Churchill Livingstone, 1986; pp. 549–619.Google Scholar
16.Adams, RG, Victor, M. Principles of Neurology, 3rd edition New York, McGraw–Hill, 1985; pp. 591–593.Google Scholar
17.Montgomery, W, Singer, M, Hamaker, R. Complications of sinus disease. In: Ballenger, JJ (ed): Diseases of the Nose, Throat, Ear, Head, and Neck. 13th ed., Philadelphia, Lea and Febiger, 1985; pp. 243–248.Google Scholar
18.Dale, BAB, MacKenzie, IJ. The complications of sphenoid sinusitis. J Laryngol Otol 1983; 97: 661–670.CrossRefGoogle ScholarPubMed
19.Forbes, W St C, Fawcitt, RA, Isherwood, J, et al. Computer tomography in the diagnosis of disease of the paranasal sinuses. Clin Radiol 1978; 29: 501–511.CrossRefGoogle ScholarPubMed
20.Rao, KCVG, Knipp, HC, Wagner, EJ. Computed tomographic findings in cerebral sinus and venous thrombosis. Radiology 1981; 140: 391–398.CrossRefGoogle ScholarPubMed
21.Lew, D, Hausler, H, Southwick, Fet al. Sphenoid sinusitis. Biomed Pharmacother 1984; 38: 214–216.Google ScholarPubMed
22.Sofferman, RA. Cavernous sinus thrombophlebitis secondary to sphenoid sinusitis. Laryngoscope 1983; 93: 797–800.CrossRefGoogle ScholarPubMed