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3 results

  • When the Problem Became the Solution

  • Ari Shemesh, Laila Al-Shafai, Timo Krings, Edward Margolin
  • Journal:
    Canadian Journal of Neurological Sciences / Volume 46 / Issue 6 / November 2019
    Published online by Cambridge University Press:
    04 July 2019, pp. 767-769
    • Article
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  • We present a unique case where a young man developed subtle cavernous sinus thrombosis (CST) due to underlying hypercoagulable state. He also had coexisting frontal lobe brain dural arteriovenous fistula (bdAVF). After CST developed, venous drainage from the optic nerve was redirected into the frontal lobe which was already under high venous pressure because of preexisting bdAVF. This caused backflow of venous blood into the optic nerve causing massive persistent optic nerve head swelling. Presumed acute venous hypertension event within bdAVF caused frontal mass effect presenting as seizure leading to thrombosis of bdAVF.

  • Acute sphenoid sinusitis leading to contralateral cavernous sinus thrombosis: a case report

  • S R Dyer, P J Thottam, S Saraiya, M Haupert
  • Journal:
    The Journal of Laryngology & Otology / Volume 127 / Issue 8 / August 2013
    Published online by Cambridge University Press:
    24 July 2013, pp. 814-816
    Print publication:
    August 2013
  • Introduction:

    The objective of this article was to report a case of isolated, acute, right-sided sphenoid sinusitis that progressed to contralateral cavernous sinus thrombosis in an 18-year-old male patient. We describe the atypical presentation of this case and discuss the relevant anatomy, pathogenesis, presentation, diagnostic evaluation and treatment.

    Case report:

    A case report of sphenoid sinusitis leading to contralateral cavernous sinus thrombosis was reviewed and presented along with a comprehensive literature review of the relevant anatomy, pathophysiology, microbiology, diagnostic work-up and treatment options.

    Conclusion:

    Cavernous sinus thrombosis is a rare clinical entity in the antibiotic era. However, limited sphenoid sinusitis may progress to cavernous sinus thrombosis in spite of maximal medical treatment, as highlighted in this case report. The mainstay of treatment includes early diagnosis allowing aggressive intravenous antibiotics and appropriate surgical management.

  • Lemierre's – the sinister sore throat

  • L M Brown, B Wallwork
  • Journal:
    The Journal of Laryngology & Otology / Volume 121 / Issue 7 / July 2007
    Published online by Cambridge University Press:
    04 January 2007, pp. 692-694
    Print publication:
    July 2007

  • Lemierre's syndrome is a rare and sometimes life threatening condition that requires prompt management. A case is reported of a previously healthy young male with Lemierre's syndrome. He developed internal jugular vein and cavernous sinus thrombosis, metastatic abscesses in the temporal lobe and lungs, temporal lobe venous infarction and severe thrombocytopaenia. Discussed are aspects of clinical presentation, diagnosis and management issues.