1,345 results match your criteria Cavernous Sinus Thrombosis


Cavernous sinus lesions.

Clin Imaging 2020 Jun 18;68:71-89. Epub 2020 Jun 18.

NYU Langone Health, Department of Radiology, New York, NY, United States of America. Electronic address:

The cavernous sinus is a complex structure susceptible to a wide variety of vascular, neoplastic and inflammatory pathologies. Vascular pathologies include ICA aneurysms, carotid-cavernous fistulas, cavernous sinus thrombosis, and cavernous hemangioma. Neoplasms that involve the cavernous sinus include pituitary adenoma, meningioma, schwannoma, lymphoma, perineural tumor spread, metastases, and direct tumor invasion. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.06.029DOI Listing

Facial swelling for the emergency radiologist-typical and atypical causes.

Emerg Radiol 2020 Jun 19. Epub 2020 Jun 19.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, P.O. Box 648, Rochester, NY, 14642, USA.

There are a wide variety of inflammatory, infectious, and cystic lesions which may lead patients to seek acute care for facial swelling. Computed tomography (CT) has become the mainstay for imaging in the urgent/emergent setting. However, magnetic resonance imaging (MRI) can also serve as a powerful problem solving tool in the modern era. Read More

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http://dx.doi.org/10.1007/s10140-020-01809-xDOI Listing

Delayed Spontaneous Thrombosis of Neglected Direct Carotid-Cavernous Fistula: A Case Report.

Neurointervention 2020 Jul 19;15(2):96-100. Epub 2020 Jun 19.

Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India.

Direct carotid-cavernous fistula (CCF) refers to direct communication between the cavernous portion of the internal carotid artery (ICA) and the cavernous sinus due to rent in the ICA, most commonly secondary to trauma. These are generally high-flow fistula and rarely resolve spontaneously. We report a case of a young male who developed features of direct CCF after trauma, was denied any treatment for 4 years, and then presented with spontaneous thrombosis of the fistula and a residual large pseudoaneurysm of the cavernous segment of the right ICA, which was subsequently managed with parent vessel occlusion. Read More

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http://dx.doi.org/10.5469/neuroint.2020.00094DOI Listing

The role of imaging in skull base osteomyelitis - Reviewed.

Clin Imaging 2020 May 28;67:62-67. Epub 2020 May 28.

Department of Radiodiagnosis, Christian Medical College, Ida Scudder Road, Vellore 632004, Tamil Nadu, India.

Purpose: Skull base osteomyelitis (SBO) is difficult to diagnose due to a wide array of clinical presentations. It can be life threatening if not treated promptly. The objective of this study is to identify the various neck spaces involved in skull base osteomyelitis, correlate them with the possible source of infection and identify the related complications. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.05.019DOI Listing

Our experience in the management of orbital complications in acute rhinosinusitis.

Acta Otorrinolaringol Esp 2020 May 7. Epub 2020 May 7.

Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.

Background And Objective: The spread of an infection from the paranasal sinuses is rare but severe. Between 4% and 20% of all rhinosinusitis can become complicated, orbital involvement being the most frequent (60-75%). Orbital complications are more common in children but more severe in adults. Read More

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http://dx.doi.org/10.1016/j.otorri.2019.11.005DOI Listing

Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report.

Medicina (Kaunas) 2020 Apr 23;56(4). Epub 2020 Apr 23.

Faculty of Technical Sciences, University of Novi Sad, TrgDositejaObradovića 6, 21000 Novi Sad, Serbia.

Spontaneous carotid-cavernous fistulas (CCFs) are rare, and they may be caused by an aneurysm rupture. A case of a man hospitalized for high-intensity hemicranial headache with sudden cough onset as part of an upper respiratory tract infection is presented. The pain was of a pulsating character, localized on the right, behind the eye, followed by nausea and vomiting. Read More

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http://dx.doi.org/10.3390/medicina56040194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230325PMC

MR imaging of cavernous sinus thrombosis.

Eur J Radiol Open 2020 3;7:100226. Epub 2020 Mar 3.

Department of Radiodiagnosis Government Medical College and Hospital, Sector 32, Chandigarh, 160030, India.

Purpose: To determine the role of Contrast enhanced MRI (CEMRI) in the evaluation of Cavernous sinus thrombosis (CST).

Method: The study included 7 patients with an imaging diagnosis of cavernous sinus thrombosis. A retrospective analysis of Contrast enhanced MRI of 9 affected cavernous sinuses and a control group of 7 patients (14 cavernous sinuses) was conducted. Read More

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http://dx.doi.org/10.1016/j.ejro.2020.100226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057197PMC

Gradenigo's Syndrome with Carotid Septic Stenosis.

Case Rep Otolaryngol 2020 19;2020:9439184. Epub 2020 Feb 19.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital de Braga, Braga, Portugal.

Gradenigo's syndrome was firstly described in 1907 by Giusseppe Gradenigo and is defined as the clinical triad of suppurative otitis media, ipsilateral abducens nerve palsy, and pain in the distribution of the first and the second branches of the trigeminal nerve. Since the advent of antibiotics, the incidence of this potentially life-threatening complication has diminished, but occasional cases still occur. We herein report a pediatric case of otitis media associated with Gradenigo's syndrome complicated by ipsilateral septic cavernous sinus thrombosis and infectious arteritis of the internal carotid artery. Read More

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http://dx.doi.org/10.1155/2020/9439184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053453PMC
February 2020

Cavernous sinus thrombosis caused by -associated Lemierre syndrome presenting as an isolated abducens nerve palsy.

Am J Ophthalmol Case Rep 2020 Jun 7;18:100592. Epub 2020 Jan 7.

University of Missouri - Kansas City School of Medicine, 2411, Holmes St, Kansas City, MO, USA.

Purpose: To describe a patient with -associated Lemierre syndrome complicated by eventual cavernous sinus thrombosis (CST) that manifested as an isolated abducens nerve palsy.

Observations: A patient with a history of heavy alcohol use presented with Lemierre syndrome caused by an odontogenic infection due to . Despite initiation of intravenous antibiotics and eventual eradication of her bacteremia, she developed an isolated abducens nerve palsy on hospital day 7 due to associated CST. Read More

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http://dx.doi.org/10.1016/j.ajoc.2020.100592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037586PMC

Comparative preoperative characteristics and postoperative outcomes at a private versus a safety-net hospital following endoscopic endonasal transsphenoidal resection of pituitary adenomas.

J Neurosurg 2020 Feb 28:1-8. Epub 2020 Feb 28.

1Department of Neurosurgery.

Objective: Sociodemographic disparities in health outcomes are well documented, but the effects of such disparities on preoperative presentation of pituitary adenomas (PA) and surgical outcomes following resection are not completely understood. In this study the authors sought to compare the preoperative clinical characteristics and postoperative outcomes in patients undergoing PA resection at a private hospital (PH) versus a safety-net hospital (SNH).

Methods: The authors conducted a retrospective review over a 36-month period of patients with PAs who underwent endoscopic endonasal transsphenoidal surgery performed by the same attending neurosurgeon at either a PH or an SNH at a single academic medical institution. Read More

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http://dx.doi.org/10.3171/2019.12.JNS192506DOI Listing
February 2020

Imaging of cerebral venous thrombosis.

Clin Radiol 2020 Apr 21;75(4):254-264. Epub 2020 Jan 21.

Department of Neuroradiology, Institute of Neurological Sciences, Glasgow, UK.

The incidence of cerebral venous thrombosis (CVT) is increasing due to the widespread use of computed tomography (CT) and magnetic resonance imaging (MRI) for investigating patients with acute headaches and new onset of seizures. Alternatively referred to as cerebral venous sinus thrombosis (CVST) or dural venous sinus thrombosis (DVST), the terms encompass a broad spectrum of neurological pathologies. These include dural venous sinus thrombosis, cortical vein thrombosis, cavernous sinus thrombosis, venous infarction/haemorrhage, and the rare sequelae of intracranial hypertension or dural arteriovenous fistula. Read More

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http://dx.doi.org/10.1016/j.crad.2019.12.009DOI Listing

Spontaneous Closure of a Cavernous Sinus Dural Arteriovenous Fistula with Spinal Perimedullary Drainage (Cognard V) during Attempted Transvenous Embolization.

Asian J Neurosurg 2019 Oct-Dec;14(4):1268-1274. Epub 2019 Nov 25.

Department of Radiology, Bumrungrad International Hospital, Bangkok, Thailand.

The authors describe a patient with spontaneous closure of a spontaneous cavernous sinus dural arteriovenous fistula (CSDAVF), Cognard type V, during transvenous attempt. A 39-year-old woman experienced mild proptosis, redness of the left eye, and diplopia. Four months later, she developed left retro-orbital pain and left-sided headache. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_277_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896619PMC
November 2019

Posttraumatic cerebrovascular injuries in children. A systematic review.

Childs Nerv Syst 2020 02 4;36(2):251-262. Epub 2020 Jan 4.

Department of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Introduction: Posttraumatic craniocervical vascular injuries in pediatric traumatic brain injury (TBI) are rare, and children-specific, evidence-based standards on screening and therapy of posttraumatic carotid-cavernous fistula (CCF), craniocervical artery dissections (CCAD), traumatic aneurysms (TA), and posttraumatic sinus venous thrombosis (SVT) is lacking. The aim of this review is to summarize the data on epidemiology, clinical presentation, and treatment of these traumatic lesions in a systematic manner.

Methods: We performed a systematic PubMed search for records of CCF, CCAD, TA, and SVT related to pediatric TBI published until June 2019. Read More

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http://dx.doi.org/10.1007/s00381-019-04482-9DOI Listing
February 2020

[Cavernous sinus syndrome secondary to thrombophlebitis due to Streptococcus intermedius complicated with vasculitis of the internal carotid artery and brain abscesses].

Rev Neurol 2020 Jan;70(1):19-22

Hospitals Vall d'Hebron, 08035 Barcelona, España.

Introduction: Thrombophlebitis of the cavernous sinus is a severe infectious disease with high mortality and morbidity. It is usually diagnosed at a late stage and requires a number of visits to the emergency department in most cases, and the prognosis is highly dependent on prompt treatment. Despite its severity, evidence regarding treatment with corticosteroids and anticoagulation therapy is scarce and controversial. Read More

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http://dx.doi.org/10.33588/rn.7001.2019376DOI Listing
January 2020

[Orbital cellulitis in children: Report of 60 cases].

J Fr Ophtalmol 2019 Dec 10;42(10):1056-1061. Epub 2019 Nov 10.

Service de médecine infantile de l'hopital d'enfant Bechir Hamza, 1006 Babb Saadoun Tunis.

The goal of this study was to describe the epidemiological, etiological, clinical and therapeutic features and clinical course of orbital cellulitis in children, and to assess the risk factors for retroseptal involvement.

Methods: This was a retrospective study including 60 children (67 eyes) diagnosed with orbital cellulitis. Two groups were defined according to the clinical form: pre- or retroseptal. Read More

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http://dx.doi.org/10.1016/j.jfo.2019.06.008DOI Listing
December 2019

Septic cavernous sinus thrombosis in a paediatric patient with undiagnosed thrombophilia.

BMJ Case Rep 2019 Oct 30;12(10). Epub 2019 Oct 30.

Pediatric Radiology, Dayton Children's Hospital, Dayton, Ohio, USA.

A previously healthy 8-year-old girl presented to the hospital with right periorbital and forehead swelling in the setting of a 1-week history of upper respiratory symptoms. Contrast-enhanced CT revealed pansinusitis with orbital and frontal abscesses and thrombosis of the anterior portion of the superior sagittal sinus. She was treated with surgical drainage, antibiotics and anticoagulants. Read More

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http://dx.doi.org/10.1136/bcr-2019-230159DOI Listing
October 2019
2 Reads

Superior ophthalmic vein thrombosis: What radiologist and clinician must know?

Eur J Radiol Open 2019 11;6:258-264. Epub 2019 Jul 11.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Hale Building, 60 Fenwood Road, Boston, MA 02115, USA.

Purpose: Superior ophthalmic vein thrombosis (SOVT) is an extremely rare condition. Few studies have been published about clinical aspects of this condition. In this study, we have studied the symptoms, underlying etiologies, treatment, pathogenesis and complication of the SOVT and we tried to classify it based on the etiology, treatment, and prognosis. Read More

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http://dx.doi.org/10.1016/j.ejro.2019.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796573PMC

Non-Traumatic Pneumocephalus and Sub-Dural Empyema as a Complication of Chronic Sinusitis.

Cureus 2019 Jul 22;11(7):e5202. Epub 2019 Jul 22.

Internal Medicine, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PAK.

Infectious sinusitis is extremely common in children, and persistent infection can lead to many complications. The most dangerous and commonly reported complications are intracranial. These intracranial complications include pneumocephalus, cerebral abscess, subdural empyema, meningitis, cellulitis, orbital abscess, and cavernous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.5202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758996PMC
July 2019
3 Reads

Horner Syndrome as Complication of Acute Sphenoid Sinusitis.

Case Rep Neurol 2019 Jan-Apr;11(1):112-116. Epub 2019 Apr 4.

Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.

Horner syndrome is described in this case report as a rare complication of bacterial sphenoid sinusitis. A patient presented with miosis, ptosis, and ophthalmic nerve palsy with acute sphenoid sinusistis and cavernous sinus thrombosis on MRI. The impairment of sympathetic fiberscan can be explained through the direct septic effects of the sphenoid sinusitis and indirectly through thrombosis of the cavernous sinus at the level of the carotid plexus. Read More

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http://dx.doi.org/10.1159/000497742DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739703PMC
April 2019
2 Reads

Severe Intraoperative Orbital Venous Congestion during Resection of a Frontal Meningioma Presenting with Post-operative Vision Loss and Ophthalmoplegia: A Case Report.

Neuroophthalmology 2019 Aug 25;43(4):265-268. Epub 2018 Oct 25.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

We describe a unique case of a middle-aged man who noticed complete vision loss in the right eye after awaking from resection of a large right-sided frontal meningioma. Visual acuity was hand motions, and there were multiple signs of right orbital venous congestion. Magnetic resonance imaging and venography (MRI/V) of the brain and orbits demonstrated expected post-operative findings with no evidence of cavernous sinus thrombosis or fistula. Read More

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https://www.tandfonline.com/doi/full/10.1080/01658107.2018.1
Publisher Site
http://dx.doi.org/10.1080/01658107.2018.1527856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736478PMC
August 2019
4 Reads

Infectious ocular motor neuropathies.

Curr Opin Ophthalmol 2019 Nov;30(6):454-461

Brigham and Women's Hospital, Department of Neurology, Boston, Massachusetts, USA.

Purpose Of Review: Describe the range of infectious causes of ocular motor neuropathies, from common presentations to unusual manifestations of diseases less frequently seen in the developed world. Provide information on recent developments in diagnostic testing for pathogens that may cause ocular motor neuropathies.

Recent Findings: Antigen detection in serum or CSF has improved the diagnosis of cryptococcal disease. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000615DOI Listing
November 2019
3 Reads

Orbital Compartment Syndrome Secondary to Direct Carotid Cavernous Fistula After Carotid Cavernous Aneurysm Rupture: Case Report and Review of Literature.

World Neurosurg 2020 Jan 14;133:409-412. Epub 2019 Aug 14.

Division of Vascular and Endovascular Neurosurgery, Firoozgar Hospital, Tehran, Iran; Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Carotid cavernous aneurysm (CCA) rupture is rare. However, it can result in various complications such as carotid cavernous fistula (CCF), epistaxis, spontaneous thrombosis, and subarachnoid hemorrhage.

Case Description: We report a 65-year-old woman with a history of uncontrolled diabetes who was referred with complaints of acute headache, diplopia, proptosis, and chemosis. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.08.037DOI Listing
January 2020
5 Reads

Cavernous Sinus Thrombosis due to Chronic Bacterial Sinusitis.

Cureus 2019 May 21;11(5):e4712. Epub 2019 May 21.

Internal Medicine, Florida Hospital, Orlando, USA.

The cavernous sinus is the most frequent dural sinus to become infected and thrombosed. Septic cavernous sinus thrombosis has become rare since the advent of antibiotics. We herein present a case of septic cavernous sinus thrombosis caused by chronic bacterial sinusitis. Read More

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https://www.cureus.com/articles/19406-cavernous-sinus-thromb
Publisher Site
http://dx.doi.org/10.7759/cureus.4712DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650178PMC
May 2019
4 Reads

The clinical characteristics, implicated pathogens and therapeutic outcomes of culture-proven septic cavernous sinus thrombosis.

J Clin Neurosci 2019 Oct 19;68:111-116. Epub 2019 Jul 19.

Department of Neurology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

In this magnetic resonance imaging-based study, we investigated the clinical features, neuroimaging features and therapeutic outcomes of 14 adults (eight men and six women; mean age 60.4 years; range 37-77 years) with septic cavernous sinus thrombosis (CST). Of the underlying conditions, 10 had diabetes mellitus and 13 had concomitant sphenoid sinusitis. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.07.022DOI Listing
October 2019
6 Reads

Effectiveness of endoscopic versus external surgical approaches in the treatment of orbital complications of rhinosinusitis: a systematic review protocol.

JBI Database System Rev Implement Rep 2019 11;17(11):2378-2389

Joanna Briggs Institute, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.

Objective: This review aims to investigate and compare the effectiveness of endoscopic drainage techniques against external drainage techniques for the treatment of orbital and subperiosteal abscesses as a complication of rhinosinusitis.

Introduction: Transnasal endoscopic drainage and external drainage techniques have been used in the management of subperiosteal orbital abscesses secondary to rhinosinusitis. Each of these approaches has its own advantages and disadvantages, with extensive literature describing each technique separately. Read More

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http://dx.doi.org/10.11124/JBISRIR-2017-003972DOI Listing
November 2019
1 Read

Cavernous Sinus Thrombosis Secondary to Sphenoid Sinus Fungal Ball.

Ear Nose Throat J 2019 Oct-Nov;98(9):540-542. Epub 2019 Jul 10.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.

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http://dx.doi.org/10.1177/0145561319862220DOI Listing
April 2020
1 Read

When the Problem Became the Solution.

Can J Neurol Sci 2019 11;46(6):767-769

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

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. Read More

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http://dx.doi.org/10.1017/cjn.2019.239DOI Listing
November 2019
1 Read

Flow diverters as a scaffold for treating direct carotid cavernous fistulas.

J Neurointerv Surg 2019 11 2;11(11):1129-1134. Epub 2019 Jul 2.

Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona, USA.

Background: Direct carotid-cavernous sinus fistulas (dCCFs) are high flow arteriovenous shunts between the internal carotid artery and the cavernous sinus. Recently, we have used the pipeline embolization device (PED) to treat dCCFs.

Methods: We describe our experience treating patients with dCCFs in whom the PED was placed as the primary treatment modality. Read More

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http://dx.doi.org/10.1136/neurintsurg-2019-014731DOI Listing
November 2019
3 Reads

An unusual case of complicated rhinosinusitis of the sphenoid sinus involving the cavernous sinus and skull base: Endoscopic sinus surgery and medical therapy.

SAGE Open Med Case Rep 2019 26;7:2050313X19852885. Epub 2019 May 26.

Department of Otorhinolaryngology, San Luigi Gonzaga University Hospital, University of Turin, Turin, Italy.

Isolated sphenoid sinus diseases are generally asymptomatic and relatively uncommon with the potential for serious complications. Patients with this condition should be monitored closely and treated aggressively and either diagnostic or therapeutic intent is often indicated. In the management of a complex, life-threatening condition that involves many different fields of expertise, the otolaryngologist plays a key role in orchestrating different specialists and gaining direct access to the affected area, thus taking the first and essential step towards diagnosis and therapy. Read More

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http://dx.doi.org/10.1177/2050313X19852885DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537237PMC
May 2019
16 Reads

Prevention and management of life-threatening complications during dental implant surgery: a clinical case series.

Gen Dent 2019 May-Jun;67(3):52-56

Complications can occur during implant placement; thus, clinicians should be aware of all potential outcomes, and staff members should be fully prepared to respond in case of emergency. A thorough medical history, precise surgical technique, knowledge, and skill are essential to prevent complications. The most serious complications, which could threaten the patient's life, are airway obstruction, bleeding, aspiration of the implant or its parts, infection, cavernous sinus thrombosis, nerve injury, and mandibular fracture. Read More

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November 2019
4 Reads

Mediastinitis as complication of odontogenic infection: A case report.

Niger J Clin Pract 2019 Jun;22(6):869-871

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey.

Odontogenic infections are one of the most common dental problems, which affect 80%-90% of the population. Untreated odontogenic infections can cause life-threatening complications such as necrotizing fasciitis, descending necrotizing mediastinitis, internal jugular vein thrombosis, cavernous sinus thrombosis, carotid artery pseudoaneurysm or rupture, and systemic inflammatory response syndrome. This report aims to present a mediastinitis case, in a 22-year-old healthy male patient, which originated from an odontogenic infection. Read More

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http://dx.doi.org/10.4103/njcp.njcp_539_18DOI Listing
June 2019
16 Reads

Fatal orbital cellulitis with intracranial complications: a case report.

Int J Emerg Med 2018 Nov 22;11(1):51. Epub 2018 Nov 22.

Al Qassimi Hospital, Sharjah, United Arab Emirates.

Background: Orbital cellulitis is a relatively uncommon presentation in the emergency department, but orbital cellulitis complicated by intracranial extensions, loss of vision, and death has rarely been reported in the literature.

Case Presentation: We report a 40-year-old Pakistani diabetic male complaining of 5 days of bilateral eye pain, proptosis, ophthalmoplegia, headache, and fever. A diagnosis of orbital cellulitis with intracranial extension was made. Read More

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http://dx.doi.org/10.1186/s12245-018-0211-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326124PMC
November 2018
21 Reads

Analysis of the utility of early MRI/MRA in 400 patients with spontaneous intracerebral hemorrhage.

J Neurosurg 2019 May 31:1-7. Epub 2019 May 31.

Departments of1Neurosurgery and.

OBJECTIVEMRI and MRA studies are routinely obtained to identify the etiology of intracerebral hemorrhage (ICH). The diagnostic yield of MRI/MRA in the setting of an acute ICH, however, remains unclear. The authors' goal was to determine the utility of early MRI/MRA in detecting underlying structural lesions in ICH and to identify patients in whom additional imaging during hospitalization could safely be foregone. Read More

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http://dx.doi.org/10.3171/2019.2.JNS183425DOI Listing
May 2019
16 Reads

Mucormycosis: More Than Meets the Eye!

Am J Med 2019 09 29;132(9):1044-1046. Epub 2019 Apr 29.

Division of Hospital Medicine, Department of Medicine, University of California San Diego (UCSD).

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http://dx.doi.org/10.1016/j.amjmed.2019.04.007DOI Listing
September 2019
4 Reads

Use of ventriculostomy in the treatment of septic cavernous sinus thrombosis (SCST).

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Division of Neurosurgery, Ascension Providence Hospital, College of Human Medicine, Michigan State University, Southfield, Michigan, USA.

We present a novel treatment with the use of intraventricular antibiotics delivered through a ventriculostomy in a patient who developed septic cavernous sinus thrombosis after sinus surgery. A 65-year-old woman presented with acute on chronic sinusitis. The patient underwent a diagnostic left maxillary antrostomy, ethmoidectomy, sphenoidotomy and sinusotomy. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22892
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-228929DOI Listing
April 2019
18 Reads

A 17-Year-Old Girl With Unilateral Headache and Double Vision.

J Investig Med High Impact Case Rep 2019 Jan-Dec;7:2324709619838309

1 Duke University School of Medicine, Durham, NC, USA.

Tolosa-Hunt syndrome is characterized by a painful ophthalmoplegia secondary to a granulomatous inflammation in or adjacent to the cavernous sinus. Magnetic resonance imaging will show enhancement of the cavernous sinus and/or the orbital apex. Although this syndrome is extremely rare in children, it should be a diagnostic consideration in patients presenting with painful ophthalmoplegia with variable involvement of cranial nerves II to VI. Read More

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http://dx.doi.org/10.1177/2324709619838309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480981PMC
May 2020
10 Reads

Imaging Spectrum of Cavernous Sinus Lesions with Histopathologic Correlation.

Radiographics 2019 May-Jun;39(3):795-819. Epub 2019 Apr 12.

From the Departments of Radiology (H.V.M., S.E.M.), Pathology (B.P., G.C.), Neurosurgery (K.P.), and Neurology (M.A.), Christian Medical College, Ida Scudder Road, Vellore, Tamil Nadu 632004, India; and the Department of Radiology, NYU Langone Medical Center, New York, NY (G.M.F.).

Cavernous sinuses are paired interconnected venous plexuses situated in the floor of the middle cranial fossa on either side of the sella turcica and sphenoid sinus. They are lined by dura mater and consist of multiple venous channels within. The cavernous sinuses are intimately related to the internal carotid artery and its associated sympathetic plexus, the oculomotor nerve, the trochlear nerve, the abducens nerve, and the ophthalmic nerve. Read More

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http://dx.doi.org/10.1148/rg.2019180122DOI Listing
March 2020
38 Reads
2.602 Impact Factor

Spontaneous Carotid Cavernous Fistula in Young Female with Anti-thrombin III Deficiency.

Asian J Neurosurg 2019 Jan-Mar;14(1):266-268

Department of General Medicine, MES Medical College, Malappuram, Kerala, India.

A 27-year-old female patient presented with headache, vomiting, and visual disturbances who was evaluated and detected to have a direct carotid cavernous fistula (CCF). Secondary causes were ruled out, and she was treated with coil occlusion and glue injection. A month after almost complete clinical recovery, she developed deep vein thrombosis of left thigh. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_252_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417300PMC
April 2019
10 Reads

Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis.

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Radiodiagnosis, JIPMER, Puducherry, India.

A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3 days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. Read More

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http://dx.doi.org/10.1136/bcr-2018-227757DOI Listing
March 2019
7 Reads

Meningitis with cranial polyneuritis and cavernous sinus thrombosis by Borrelia crocidurae: First autochthonous case in Europe.

Int J Infect Dis 2019 May 25;82:30-32. Epub 2019 Feb 25.

Infectious Diseases Clinic, Department of Medicine, Perugia University, Perugia, Italy.

Borrelia crocidurae is endemic in West Africa, where it represents the leading cause of tick-borne relapsing fever (TBRF). TBRF typically presents with high fever and systemic symptoms, followed by recurrent episodes. Neurological complications may occur during febrile relapses. Read More

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http://dx.doi.org/10.1016/j.ijid.2019.02.028DOI Listing
May 2019
14 Reads

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

Ann Otol Rhinol Laryngol 2019 Jun 21;128(6):563-568. Epub 2019 Feb 21.

1 Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petah-Tikva.

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. Read More

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http://dx.doi.org/10.1177/0003489419832624DOI Listing
June 2019
14 Reads

Atypical Cavernous Sinus Thrombosis: A Diagnosis Challenge and Dilemma.

Cureus 2018 Dec 4;10(12):e3685. Epub 2018 Dec 4.

Ophthalmology, Universiti Sains Malaysia, Kota Bharu, MYS.

Cavernous sinus thrombosis (CST) is an ocular emergency because of its devastating effect and it is prone to cause serious complications. Diagnosis of cavernous sinus thrombosis is a challenging task despite medical advancement. Efforts to promptly diagnose and initiate treatment require a high index of suspicion and a deep understanding of the disease. Read More

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http://dx.doi.org/10.7759/cureus.3685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367117PMC
December 2018
4 Reads

Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report.

J Maxillofac Oral Surg 2019 Mar 14;18(1):30-33. Epub 2017 Dec 14.

3Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Medical Sciences and Technology, Khartoum, Sudan.

Background: Orbital infection related to mandibular third molar infection is extremely rare. Most of cases reported in literature are related to maxillary molar teeth. Odontogenic infections are not common causes of orbital abscess but it should always be put in consideration when dealing with orbital cellulitis and abscess. Read More

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http://dx.doi.org/10.1007/s12663-017-1074-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328831PMC
March 2019
21 Reads

Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

1st Department of Medicine, Laikon Hospital, Athens, Greece.

We report a case of septic thrombosis of the right cavernous sinus in a diabetic woman in her late 70's due to ipsilateral sphenoid sinusitis. The diagnosis was delayed and made only after the abrupt and dramatic appearance of the manifestations of sinus thrombosis. The patient developed, among the other symptoms, right peripheral facial palsy, which is a very rare manifestation in cavernous sinus thrombosis (CST). Read More

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http://dx.doi.org/10.1136/bcr-2018-227302DOI Listing
January 2019
15 Reads

A rare case of septic cavernous sinus thrombosis as a complication of sphenoid sinusitis.

Ci Ji Yi Xue Za Zhi 2019 Jan-Mar;31(1):63-65

Department of Pediatrics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

Isolated sphenoid sinusitis is a rare disorder and may present with severe complications due to its proximity to the orbital and intracranial areas. We report a 13-year-old boy hospitalized for septic shock with fever of unknown origin. Facial palsy was later noted. Read More

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http://dx.doi.org/10.4103/tcmj.tcmj_1_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334571PMC
January 2019
11 Reads

Bilateral Posterior Fracture-Dislocation of Shoulder Following Seizures Secondary to Cavernous Sinus Venous Thrombosis - A Rare Association.

J Orthop Case Rep 2018 Jul-Aug;8(4):49-52

Department of Orthopaedics, Krishna Institution of Medical Sciences Ltd., Secunderabad, Telangana. India.

Introduction: Bilateral posterior fracture dislocation of both shoulders is a rare condition which can easily be missed due to its imprecise presentation. In this case report, we emphasize its diagnosis and summarize the various treatment options available for bilateral posterior fracture-dislocation of shoulders and also its management in conjunction with cavernous sinus venous thrombosis (CSVT).

Case Report: A 29-year-old gentleman had bilateral posterior fracture-dislocation of shoulders, with comminuted three-part fractures of both humeral heads, after two episodes of seizures, following CSVT. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343556PMC
January 2019
8 Reads

Diagnosis and Management of Cerebral Venous Diseases in Neuro-Ophthalmology: Ongoing Controversies.

Asia Pac J Ophthalmol (Phila) 2019 Jan-Feb;8(1):73-85. Epub 2019 Jan 23.

Department of Ophthalmology, Weill Cornell Medical College, New York, United States.

Diseases of the cerebral venous system frequently lead to neuro-ophthalmic complications. Cortical venous sinus thrombosis and dural arteriovenous fistulas may be complicated by elevation of intracranial pressure, with secondary papilledema or abducens palsies. There is increasing recognition that stenosis at the transverse sinus-sigmoid sinus junction plays a role in the pathophysiology of idiopathic intracranial hypertension and offers a new avenue of treatment in patients who fail medical therapy. Read More

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http://dx.doi.org/10.22608/APO.2018239DOI Listing
March 2019
12 Reads

Sinonasal-Related Orbital Infections in Children: A Clinical and Therapeutic Overview.

J Clin Med 2019 Jan 16;8(1). Epub 2019 Jan 16.

Otolaryngological Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Sinonasal-related orbital infections (SROIs) are typically pediatric diseases that occur in 3⁻4% of children with acute rhinosinusitis. They are characterised by various clinical manifestations, such as peri-orbital and orbital cellulitis or orbital and sub-periosteal abscesses that may develop anteriorly or posteriorly to the orbital septum. Posterior septal complications are particularly dangerous, as they may lead to visual loss and life-threatening events, such as an intracranial abscess and cavernous sinus thrombosis. Read More

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http://www.mdpi.com/2077-0383/8/1/101
Publisher Site
http://dx.doi.org/10.3390/jcm8010101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351922PMC
January 2019
11 Reads

[Etiologies and risk factors for young people with intracerebral hemorrhage].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018 Nov;43(11):1246-1250

Department of Geriatrics Neurology, Xiangya Hospital, Central South University, Changsha 410008, China.

Objective: To determine the etiologies and risk factors of intracerebral hemorrhage in young people.
 Methods: A total of 401 young patients with intracerebral hemorrhage were enrolled, and they were assigned into a 20-29 , a 30-39, and a 40-45 age group. The differences of various etiologies and risk factors among the three groups were analyzed. Read More

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http://www.csumed.org/xbwk/CN/10.11817/j.issn.1672-7347.2018
Publisher Site
http://dx.doi.org/10.11817/j.issn.1672-7347.2018.11.013DOI Listing
November 2018
44 Reads

Internal Carotid Artery Occlusion Causing Acute Cranial Neuropathies.

J Stroke Cerebrovasc Dis 2019 Apr 9;28(4):e5-e6. Epub 2019 Jan 9.

Department of Neurology, Westmead Hospital, Sydney, New South Wales, Australia; Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

A 54-year-old male with a history of left posterior parietal ischemic stroke, epilepsy, tobacco and marijuana smoking, and alcohol abuse, presented with acute left visual loss and diplopia. On examination, he had reduced left visual acuity and a left oculomotor nerve palsy. CT angiogram from aortic arch to circle of Willis identified extensive thrombus occluding the left common and internal carotid arteries, extending to the left ophthalmic artery. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.017DOI Listing
April 2019
6 Reads