1,287 results match your criteria Cavernous Sinus Thrombosis


The Microbiology of Complicated Acute Sinusitis among Pediatric Patients: A Case Series.

Otolaryngol Head Neck Surg 2018 Nov 27:194599818815109. Epub 2018 Nov 27.

3 Division of Otolaryngology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Objective: The microbiology of pediatric complicated acute rhinosinusitis (ARS) has evolved, and our current understanding of pathogenic organisms is limited. The objectives of this study are to describe the incidence of pathogens causing complicated ARS requiring surgical intervention at our institution over a 10-year period as well as their associated treatment outcomes.

Study Design: Retrospective cohort study. Read More

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http://journals.sagepub.com/doi/10.1177/0194599818815109
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http://dx.doi.org/10.1177/0194599818815109DOI Listing
November 2018
4 Reads

Superior and Inferior Ophthalmic Vein Thrombosis in the Setting of Lung Cancer.

Case Rep Oncol Med 2018 15;2018:6025274. Epub 2018 Oct 15.

Department of Internal Medicine, Einstein Medical Center Philadelphia, Philadelphia, USA.

Superior ophthalmic vein thrombosis is extremely rare and is often associated with orbital inflammation/infection, systemic/local tumors, hypercoagulable states, autoimmune conditions, and rarely carotid cavernous fistula. Clinical features include abrupt onset of painful proptosis, chemosis, ophthalmoplegia, and diminished visual acuity. Prompt diagnosis and treatment are essential to prevent permanent blindness. Read More

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https://www.hindawi.com/journals/crionm/2018/6025274/
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http://dx.doi.org/10.1155/2018/6025274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205109PMC
October 2018
5 Reads

Long-term safety and immunogenicity of the M72/AS01E candidate tuberculosis vaccine in HIV-positive and -negative Indian adults: Results from a phase II randomized controlled trial.

Medicine (Baltimore) 2018 Nov;97(45):e13120

GSK, Rixensart and Wavre, Belgium.

Objectives: To assess the long-term safety and immunogenicity of the M72/ Adjuvant System (AS01E) candidate tuberculosis (TB) vaccine up to 3 years post-dose 2 (Y3) in human immunodeficiency virus (HIV)-positive (HIV+) and HIV-negative (HIV-) Indian adults.

Methods: This phase II, double-blind, randomised, controlled clinical trial (NCT01262976) was conducted at YRG CARE Medical Centre, in Chennai, India, between January 2011 and June 2015.Three cohorts (HIV+ participants stable on antiretroviral therapy [ART; HIV+ART+], HIV+ ART-naïve [HIV+ART-], and HIV- participants) were randomised (1:1) to receive 2 doses of M72/AS01E (M72/AS01E groups) or saline (control groups) 1 month apart and were followed up toY3. Read More

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http://dx.doi.org/10.1097/MD.0000000000013120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250513PMC
November 2018
5 Reads

Pediatric Congenital Cerebrovascular Anomalies.

J Neuroimaging 2018 Oct 31. Epub 2018 Oct 31.

Department of Interventional Radiology, Sanford Aberdeen Clinic, Aberdeen, SD.

Congenital cerebrovascular anomalies in the pediatric age group are myriad with diverse etiologies. The purpose of this paper is to provide an imaging overview of congenital vascular malformations and vascular tumors, as these conditions are varied and the characteristic vascular abnormality may even suggest the underlying systemic condition in helping to guide further management. For example, the identification of an arterial anomaly such as agenesis/hypoplasia/duplication may warrant further evaluation for an associated syndrome. Read More

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http://doi.wiley.com/10.1111/jon.12575
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http://dx.doi.org/10.1111/jon.12575DOI Listing
October 2018
10 Reads

Lateral rectus atrophy in cavernous sinus thrombosis.

Clin Neuroradiol 2018 Oct 19. Epub 2018 Oct 19.

Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, CT 06520-8042, New Haven, USA.

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http://dx.doi.org/10.1007/s00062-018-0729-6DOI Listing
October 2018

Septic Cavernous Sinus Thrombosis Associated With Orbital Cellulitis: A Report of 6 Cases and Review of Literature.

Ophthalmic Plast Reconstr Surg 2018 Oct 9. Epub 2018 Oct 9.

Department of Ophthalmology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.

Purpose: To describe risk factors, clinical parameters, treatment, and prognosis for patients with septic cavernous sinus thrombosis presenting with orbital cellulitis.

Methods: Retrospective case series of 6 patients identified with septic cavernous sinus thrombosis and orbital cellulitis confirmed by magnetic resonance imaging at a tertiary care center from January 1980 to December 2016. Medical records were reviewed for demographics, risk factors, symptoms, etiology, radiographic diagnosis, complications, treatments, and outcomes. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001231DOI Listing
October 2018
1 Read

Elevated Optic Disc Height and Increased Optic Nerve Sheath Diameter on Bedside Ultrasound in a Pediatric Patient With Orbital Cellulitis: More Than Meets the Eye.

J Emerg Med 2018 Dec 22;55(6):813-816. Epub 2018 Sep 22.

Children's Emergency, KK Women's and Children's Hospital, Singapore.

Background: Orbital cellulitis is an uncommon ophthalmological emergency in children, but rapid emergency department (ED) diagnosis is essential.

Case Report: A 13-year-old boy presented to our pediatric ED with left orbital cellulitis secondary to pansinusitis. Emergency bedside ocular ultrasonography was used to evaluate and expedite his management. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.08.006DOI Listing
December 2018
9 Reads

Spontaneous resolution of direct carotid-cavernous fistulas: case series and literature review.

Interv Neuroradiol 2018 Sep 23:1591019918800220. Epub 2018 Sep 23.

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

Spontaneous regression of direct carotid-cavernous fistulas (CCFs) is extremely rare. Most of the patients with direct CCFs are usually treated using endovascular techniques. Spontaneous obliteration of the direct fistulas probably results from thrombosis of the venous drainage and/or cavernous sinus. Read More

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http://dx.doi.org/10.1177/1591019918800220DOI Listing
September 2018
9 Reads

[Headache: consider cavernous sinus thrombophlebitis].

Ned Tijdschr Geneeskd 2018 08 16;162. Epub 2018 Aug 16.

Radboudumc, afd. Radiologie, Nijmegen.

A 38-year-old woman presented with a 1-week history of progressive headache and acute onset of left-sided hemiparesis. Neurological examination showed bradyphrenia and intermittent left hemiparesis. Brain neuroimaging revealed cavernous sinus thrombosis, subdural empyema, pathological vessel-wall enhancement of the right middle cerebral artery and ischaemia in the right striatum. Read More

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August 2018
3 Reads

Septic cavernous sinus thrombosis: potentially fatal conjunctival hyperemia.

Intensive Care Med 2018 Jul 30. Epub 2018 Jul 30.

Department of Ophthalmology, Mitoyo General Hospital, 708 Himehama Toyohama, Kanonji, Kagawa, 769-1695, Japan.

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http://dx.doi.org/10.1007/s00134-018-5322-6DOI Listing
July 2018
3 Reads

Impact of superior ophthalmic vein thrombosis: a case series and literature review.

Orbit 2018 Jul 24:1-7. Epub 2018 Jul 24.

b Department of Ophthalmology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands.

Purpose: To present nine new cases of superior ophthalmic vein thrombosis (SOVT) and compare these with the literature, and to assess the impact of SOVT for the clinician.

Methods: Using the data bases of the Department of Ophthalmology of the AMC, we searched for patients with radiologically evidenced SOVT between January 2006 and December 2014. In addition, a PubMed search, using the mesh term 'superior ophthalmic vein thrombosis', was done. Read More

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http://dx.doi.org/10.1080/01676830.2018.1497068DOI Listing
July 2018
3 Reads

Orbitocerebral mucormycosis and intracranial haemorrhage: a role for caution with steroids in suspected giant cell arteritis.

BMJ Case Rep 2018 Jul 15;2018. Epub 2018 Jul 15.

Department of Neurosurgery, University Hospital of Wales, Cardiff, UK.

A 75-year-old man with type 2 diabetes mellitus presented with complete loss of vision in his right eye and severe headaches for the past 24 hours. He had been treated for suspected giant cell arteritis (GCA) with high-dose corticosteroids which were being tapered to stop after an inconclusive right temporal artery biopsy and an erythrocyte sedimentation rate (ESR) value of 8. His current acute presentation, however, raised further concern for partially treated GCA and precipitated treatment with pulsed methylprednisolone. Read More

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http://dx.doi.org/10.1136/bcr-2017-224086DOI Listing
July 2018
12 Reads

Prognosis of septic cavernous sinus thrombosis remarkably improved: a case series of 12 patients and literature review.

Eur Arch Otorhinolaryngol 2018 Sep 11;275(9):2387-2395. Epub 2018 Jul 11.

Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: Septic cavernous sinus thrombosis (CST) is a rare complication of infections in the head and neck area. CST is notorious for its bad prognosis, with high mortality and morbidity rates described in literature. However, these rates are based on old series. Read More

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http://dx.doi.org/10.1007/s00405-018-5062-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6096574PMC
September 2018
2 Reads

Clival Osteomyelitis with Cavernous Sinus Thrombosis Due to Fusobacterium nucleatum and Campylobacter rectus Induced by Tooth Extraction.

Intern Med 2018 Nov 6;57(22):3325-3328. Epub 2018 Jul 6.

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

A 70-year-old woman who had suffered from aseptic meningitis complained of chronic headache after dental treatment including tooth extraction. She developed a fever and respiratory failure. Based on chest computed tomography and head magnetic resonance imaging (MRI), she was diagnosed with osteomyelitis in the clivus accompanying moderate pituitary involvement, cavernous sinus thrombosis and septic pulmonary embolism. Read More

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http://dx.doi.org/10.2169/internalmedicine.1025-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288000PMC
November 2018
2 Reads

[Hemorrhagic rupture of a giant arteriovenous malformation in a young man in Ouagadougou].

Pan Afr Med J 2018 17;29:38. Epub 2018 Jan 17.

Department of Neurology, Teaching Hospital Yalgado Ouedraogo of Ouagadougou.

Vascular arteriovenous malformations (VAM) are aggressive vascular diseases associated with increased haemorrhagic risk in terms of morbidity and mortality. Vascular arteriovenous malformations are usually sporadic. The main symptom of VAM is hemorrhage, in 50% of cases. Read More

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http://www.panafrican-med-journal.com/content/article/29/38/
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http://dx.doi.org/10.11604/pamj.2018.29.38.12253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987145PMC
June 2018
6 Reads

Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery.

Int J Pediatr Otorhinolaryngol 2018 Jul 11;110:147-151. Epub 2018 May 11.

University of Texas Southwestern Medical Center Department of Otolaryngology, United States; Children's Medical Center Dallas, United States.

Objective: To study the role of endoscopic sinus surgery (ESS) in the management of intracranial complications of children with acute rhinosinusitis METHODS: Retrospective chart review at a tertiary care pediatric hospital MAIN OUTCOMES: Demographics, intracranial complications, length of hospital stay (LOS), neurological sequelae, ESS, neurosurgical procedures RESULTS: Twenty-four children with a mean age (SD) of 12.9 years (+/-3.2) with an intracranial complication(s) of acute rhinosinusitis were identified between 2005-2016. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.05.015DOI Listing
July 2018
4 Reads

Management of pediatric orbital cellulitis: A systematic review.

Int J Pediatr Otorhinolaryngol 2018 Jul 8;110:123-129. Epub 2018 May 8.

Department of Otolaryngology, Boston University School of Medicine, 4th Floor, FGH Building, 820 Harrison Ave., Boston, MA 02118, United States. Electronic address:

Objectives: Orbital complications account for 74-85% of all complications from acute sinusitis, more often affect the pediatric population, and can result in devastating consequences. Therefore these patients require prompt diagnosis and proper management. We review and summarize the current literature to determine the appropriate management of each stage of pediatric orbital cellulitis and offer a new comprehensive literature-based algorithm. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.05.006DOI Listing
July 2018
3 Reads

Pituitary Abscess: A Rare Clinical Entity in the Presence of Acute Rhinosinusitis: A Case Report.

J Neurol Surg Rep 2018 Apr 25;79(2):e36-e40. Epub 2018 May 25.

Department of Surgery - Otolaryngology Head & Neck Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, United States.

A pituitary abscess is an often-overlooked diagnosis in the clinical presentation of a sellar mass. Due to its rare incidence and nonspecific presentation, diagnosis and treatment is often delayed. The authors describe a 56-year-old male patient presenting with acute onset of severe headache, visual field deficit, and radiologic findings of an expansile sellar lesion. Read More

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http://dx.doi.org/10.1055/s-0038-1656531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5969996PMC
April 2018
2 Reads

[Injury characteristics and therapeutic strategy of patients injured in "8·8" Jiuzhaigou earthquake].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):358-362

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To summarize the injury characteristics and therapeutic strategy of patients injured in "8·8" Jiuzhaigou earthquake.

Methods: The clinical data of 48 patients injured in "8·8" Jiuzhaigou earthquake who were admitted to Mianyang Central Hospital were analyzed retrospectively. There were 25 males and 23 females with an average age of 36 years (range, 5-87 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201710077DOI Listing
March 2018
4 Reads

species and orbital apex syndrome: Unsuspected co-infection.

Saudi J Ophthalmol 2018 Jan-Mar;32(1):86-89. Epub 2018 Feb 8.

Diagnostic Services of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.

species are thermally dimorphic fungi existing as yeast in tissue. We report an initially immunocompetent patient with orbital apex syndrome (OAS) whose presentation suggested giant cell arteritis. Subsequently, metastatic carcinoma was entertained as a cause of OAS until bronchoscopy yielded species. Read More

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http://dx.doi.org/10.1016/j.sjopt.2018.02.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943999PMC
February 2018
3 Reads

Catastrophic multiple arterial dissections revealing concomitant polyarteritis nodosa and vascular Elhers-Danlos syndrome.

Clin Exp Rheumatol 2018 Mar-Apr;36 Suppl 111(2):174-175. Epub 2018 May 3.

Internal Medicine Department, CHU Toulouse, France.

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July 2018
5 Reads

[Clinical analysis of otogenic Mouret abscess: a case report].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Mar;32(6):472-473

Mouret abscess is a rare extracranial complication of suppurative otitis media. It is generally believed to be a deep neck abscess caused by inflammation leading to the rupture of the bony tip of the mastoid tip. The location of Mouret abscess is deep. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.06.018DOI Listing
March 2018
8 Reads

Botulism and cavernous sinus thrombosis induced by acute rhinosinusitis: A case report.

Caspian J Intern Med 2018 ;9(2):194-197

Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Background: Botulism is an acute and rapidly progressive descending paralytic disease caused by a neurotoxin of clostridium botulinum.

Case Presentation: A 28-year-old woman presented with severe generalized ascending symmetrical muscle paralysis. The patient was intubated and transferred to the medical intensive care unit with several symptoms including: severe headache, dysphagia, dyspnea, ptosis, diplopia, and dry mouth. Read More

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http://dx.doi.org/10.22088/cjim.9.2.194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912230PMC
January 2018
10 Reads

Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

J Neurointerv Surg 2018 Jun 7;10(6):e11. Epub 2018 Apr 7.

Department of Neurosurgery, Huntington Memorial Hospital, Pasadena, California, USA.

Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CCF thrombosed, leaving an engorged superficial middle cerebral vein (SMCV) as the only venous outflow from the cavernous sinus. Access to the CCF was made possible after careful navigation of the sigmoid sinus, the vein of Labbé and the SMCV, bypassing the need for surgical access to the SMCV or for a direct transorbital puncture. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013229.repDOI Listing
June 2018
9 Reads

Rapid M1 Hemoclips Arteriotomy Repair After Emergency Coil Embolectomy.

Oper Neurosurg (Hagerstown) 2018 Jul;15(1):25-31

Arkansas Neuroscience Institute, CHI St. Vincent Infirmary, Little Rock, Arkansas.

Background: The vascular closure staple clips have been studied in animal models and shown to have comparable results with sutured repair when it comes to the healing process, degree of vessel narrowing, and risk of thrombosis. However, they are clearly superior when the speed of application is taken into account, and they were clinically used in many vascular repair processes. Nevertheless, their usefulness in intracranial vascular surgery has not been described. Read More

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https://academic.oup.com/ons/article/15/1/25/4909730
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http://dx.doi.org/10.1093/ons/opx187DOI Listing
July 2018
17 Reads

Septic Cavernous Sinus Thrombosis Following a Minor Head Injury: A Rare Cause of Medico-Legal Death.

J Forensic Sci 2018 Nov 21;63(6):1888-1891. Epub 2018 Feb 21.

Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700.

Septic cavernous sinus thrombosis (SCST) is an uncommon consequence of head and face infection, but a rare complication after craniofacial fracture. In this case, SCST developed in a 13-year-old girl following a minor fall during volleyball, with impact and resulting abrasive contusion of the left forehead. She developed watery rhinorrhea, progressive headache, fever, nausea, vomiting, and left proptosis with blurred vision, and was admitted to hospital 3 days after injury. Read More

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http://dx.doi.org/10.1111/1556-4029.13752DOI Listing
November 2018
3 Reads

Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein.

J Neurointerv Surg 2018 May 17;10(5):e8. Epub 2018 Feb 17.

Department of Neurointerventional Radiology, Kaiser Permanente Medical Center, Los Angeles, California, USA.

Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013571.repDOI Listing
May 2018
3 Reads

Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein.

BMJ Case Rep 2018 Feb 7;2018. Epub 2018 Feb 7.

Department of Neurointerventional Radiology, Kaiser Permanente Medical Center, Los Angeles, California, USA.

Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. Read More

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http://dx.doi.org/10.1136/bcr-2017-013571DOI Listing
February 2018
7 Reads

Polymorphism in dural arteriovenous fistula: matrix metalloproteinase-2-1306 C/T as a potential risk factor for sinus thrombosis.

J Thromb Haemost 2018 Apr 25;16(4):802-808. Epub 2018 Mar 25.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Essentials Sinus thrombosis may play a crucial role in development of dural arteriovenous fistula (DAVF). Little is known about the association between gene polymorphism and the development of DAVF. MMP-2-1306 C/T showed a higher prevalence rate in DAVF cases with sinus thrombosis. Read More

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http://dx.doi.org/10.1111/jth.13973DOI Listing
April 2018
4 Reads

Approach to a Patient with Diplopia in the Emergency Department.

J Emerg Med 2018 06 14;54(6):799-806. Epub 2018 Feb 14.

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

Background: Diplopia can be the result of benign or life-threatening etiologies. It is imperative for the emergency physician to be proficient at assessing diplopia and recognize when urgent referral or neuroimaging is required.

Objective: The first part of this review highlights a simple framework to arrive at the appropriate disposition of diplopic patients presenting to the emergency department (ED). Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.12.045DOI Listing
June 2018
5 Reads

Occipital lobe infarction: a rare presentation of bilateral giant cavernous carotid aneurysms: a case report.

BMC Ophthalmol 2018 Feb 2;18(1):25. Epub 2018 Feb 2.

Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.

Background: Cavernous carotid aneurysm (CCA) represents 2-9% of all intracranial aneurysms and 15% of internal carotid artery (ICA) aneurysms; additionally, giant aneurysms are those aneurysms that are > 25 mm in size. Bilateral CCAs account for 11-29% of patients and are commonly associated with structural weaknesses in the ICA wall, secondary to systemic hypertension. CCAs are considered benign lesions, given the low risk for developing major neurologic morbidities (i. Read More

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http://dx.doi.org/10.1186/s12886-018-0687-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797379PMC
February 2018
6 Reads

Right orbital edema masquerading a hematologic malignancy.

SAGE Open Med Case Rep 2018 10;6:2050313X17751838. Epub 2018 Jan 10.

Division of Hematology/Oncology, Einstein Medical Center, Philadelphia, PA, USA.

Introduction: Multiple myeloma is caused by abnormal proliferation of plasma cells that affects more commonly African Americans. It classically presents with hypercalcemia, renal failure, anemia, and lytic bone lesions. The aim of this article is to present an unusual case of a 63-year-old African-American female with multiple myeloma who presented with worsening right-sided eye swelling for the past 3 weeks and to briefly review ophthalmologic manifestations of multiple myeloma. Read More

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http://dx.doi.org/10.1177/2050313X17751838DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768267PMC
January 2018
5 Reads

Pythium Keratitis Leading to Fatal Cavernous Sinus Thrombophlebitis.

Cornea 2018 Apr;37(4):519-522

Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of MAdical Sciences, New Delhi, India.

Purpose: To report a case of Pythium insidiosum keratitis leading to fatal cavernous sinus thrombophlebitis.

Methods: Case report.

Results: A 70-year-old man presented with excruciating pain, redness, and diminution of vision in his left eye for 2 weeks after washing his hair with tap water. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001504DOI Listing
April 2018
7 Reads

Conservative Management for Subperiosteal Orbital Abscess in Adults: A 20-Year Experience.

Ann Otol Rhinol Laryngol 2018 Mar 3;127(3):162-166. Epub 2018 Jan 3.

1 Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.

Objective: Orbital complications (OC) secondary to acute rhinosinusitis (ARS) in adults are less common than in children, with assumed worse outcome.

Materials And Methods: Adults with OC secondary to ARS between 1994 and 2014 were reviewed retrospectively. Parameters recorded included age, gender, clinical symptoms and signs, computed tomography (CT) scan findings, duration of hospitalization, treatment before and during admission, cultures, and outcome. Read More

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http://dx.doi.org/10.1177/0003489417751155DOI Listing
March 2018
18 Reads

Unilateral isolated superior ophthalmic vein thrombosis.

Indian J Ophthalmol 2018 01;66(1):155-157

Department of Retina, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India.

Superior ophthalmic vein (SOV) thrombosis is an uncommon orbital pathology that can present with sudden onset proptosis, conjunctival injection, and visual disturbance. SOV thrombosis is frequently secondary to a cavernous sinus pathology. A 32-year-old female with a known history of autoimmune hemolytic anemia presented with sudden painful proptosis left eye, and on imaging, she was found to have SOV thrombosis without cavernous sinus involvement. Read More

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http://dx.doi.org/10.4103/ijo.IJO_791_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778557PMC
January 2018
6 Reads

[Septic thrombus of the cavernous sinus].

Vestn Otorinolaringol 2017;82(6):72-76

Saint Luke Lugansk State Medical University, Lugansk, Lugansk People's Republic, 91045.

The present review was designed to represent modern views of the problem of etiopathogenesis, clinical features, diagnostics, and treatment of septic thrombus of the cavernous sinus with special reference to the currently available methods for the detection and management of this condition. Read More

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http://dx.doi.org/10.17116/otorino201782672-76DOI Listing
March 2018
3 Reads

Bilateral cavernous sinus thrombosis with septic lung lesions resulting from a nasal abscess.

Am J Ophthalmol Case Rep 2017 Sep 21;7:113-114. Epub 2017 Jun 21.

Northwell Health Department of Ophthalmology, Hofstra Northwell School of Medicine, 600 Northern Blvd, Suite 214, Great Neck, NY 11021, United States.

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http://dx.doi.org/10.1016/j.ajoc.2017.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722132PMC
September 2017
3 Reads

Amelioration of acute orbital compartment syndrome following transvenous embolization for an indirect carotid-cavernous fistula: A case report.

Medicine (Baltimore) 2017 Dec;96(49):e9096

Department of Ophthalmology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).

Rationale: Orbital compartment syndrome (OCS) is a rare occurrence after transvenous embolization of indirect carotid-cavernous fistula (CCF). A lateral canthotomy and cantholysis are the most commonly performed surgical interventions. In our case, as the acute OCS occurred immediately after an uneventful transvenous embolization, an orbital floor orbitectomy was performed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201712080-0012
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000009096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728951PMC
December 2017
8 Reads

The dangers of the "Head Down" position in patients with untreated pituitary macroadenomas: case series and review of literature.

Pituitary 2018 Jun;21(3):231-237

Department of Neurologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Purpose: Cavernous sinus syndrome is a rare phenomenon, characterized by simultaneous neuropathies of cranial nerves III-VI. Various pathological processes have been reported as precipitating etiologies, including infection, inflammation, vascular lesions, and neoplasms.

Purpose: We report a unique case series of cavernous sinus syndrome attributable to prolonged Trendelenburg or prone positioning during non-cranial procedures and review the pertinent literature to enlighten on this rare but catastrophic phenomenon. Read More

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http://dx.doi.org/10.1007/s11102-017-0851-5DOI Listing
June 2018
17 Reads

Transvenous Coil Embolization for the Treatment of Carotid Cavernous Fistula after Pipeline Placement: A Case Report.

J Stroke Cerebrovasc Dis 2018 Apr 22;27(4):e65-e69. Epub 2017 Nov 22.

Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50, Minamikoshigaya, Koshigaya-shi, Saitama 343-8555, Japan.

The Pipeline embolization device (PED), a type of flow diverter, has become an appealing alternative treatment option for large or giant and wide-necked intracranial aneurysms. Carotid cavernous fistula (CCF) resulting from delayed aneurysmal rupture is a rare complication of PED placement with unknown pathophysiology. Here, we describe a case of CCF resulting from aneurysmal rupture following PED placement, and present the details of treatment by transvenous coil embolization. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057173057
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.10.023DOI Listing
April 2018
4 Reads

Primary intraventricular haemorrhage due to rupture of giant varix of the basal vein of Rosenthal in a patient with long-standing direct CCF: angiographic features and treatment considerations.

BMJ Case Rep 2017 Nov 16;2017. Epub 2017 Nov 16.

Imaging Sciences & Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Direct carotid cavernous fistulae (CCF) are often detected early and treated promptly resulting in a paucity of literature regarding its long-term evolution. We present a case of high flow post-traumatic direct CCF that was neglected for over 6 years and presented with a rare manifestation of primary intraventricular haemorrhage. Occlusions of the primary venous outlets likely resulted in engorgement of the deep venous system. Read More

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http://dx.doi.org/10.1136/bcr-2017-013396DOI Listing
November 2017
6 Reads

Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity.

J Korean Assoc Oral Maxillofac Surg 2017 Oct 26;43(5):351-355. Epub 2017 Oct 26.

Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bareilly, India.

Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. Read More

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http://dx.doi.org/10.5125/jkaoms.2017.43.5.351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685866PMC
October 2017
6 Reads

Superior Ophthalmic Vein Access for Embolization of an Indirect Carotid Cavernous Fistula.

Cureus 2017 Sep 1;9(9):e1639. Epub 2017 Sep 1.

Department of Radiology, Baylor University Medical Center.

Carotid cavernous fistulae (CCF) are defined as abnormal connections between the carotid circulation and cavernous sinus. CCFs can be categorized as being direct or indirect. Direct CCFs are usually associated with trauma, whereas indirect CCFs are associated with revascularization following cavernous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.1639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665693PMC
September 2017
10 Reads

Association of ocular findings and outcome in cerebral venous thrombosis.

Oman J Ophthalmol 2017 Sep-Dec;10(3):173-176

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Cerebral venous thrombosis (CVT) is a potentially life-threatening underdiagnosed disease. Headache is a common but nonspecific finding in CVT. Other features such as ocular finding can assist to correct diagnosis, but their frequency in CVT has not been previously evaluated. Read More

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http://www.ojoonline.org/text.asp?2017/10/3/173/216008
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http://dx.doi.org/10.4103/ojo.OJO_39_2016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5657159PMC
November 2017
3 Reads

Superior ophthalmic vein thrombosis: A rare complication of Graves' orbitopathy.

Orbit 2018 Jun 20;37(3):175-178. Epub 2017 Oct 20.

a UPMC Eye Center, Eye and Ear Institute , University of Pittsburgh School of Medicine , Pittsburgh , PA , USA.

Superior ophthalmic vein thrombosis is a rare, life- and sight-threatening complication of both infectious and inflammatory orbital disease as well as hypercoagulable state. Only one case of superior ophthalmic vein thrombosis due to thyroid eye disease has been reported in the literature. This article describes the diagnosis and management of a case of superior ophthalmic vein thrombosis due to Graves' orbitopathy. Read More

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http://dx.doi.org/10.1080/01676830.2017.1383467DOI Listing
June 2018
121 Reads

Septic thrombosis of cavernous sinus extended to the ipsilateral internal jugular vein and transversal sinus with favorable outcome: Clinical and radiological features of a Lemierre syndrome.

Authors:
Arnaud Martel

Orbit 2018 Apr 17;37(2):94-96. Epub 2017 Oct 17.

a Department of Ophthalmology , University Hospital of Nice , Nice , France.

An 86-year-old patient was hospitalized for fever and left acute orbital syndrome (red eye with moderate visual impairment, chemosis, ophthalmoplegia without proptosis, or any fundus involvement). CT scan showed superior ophthalmic vein and cavernous sinus enlargement complicating ipsilateral sphenoidal sinusitis. Magnetic resonance imaging (MRI) demonstrated the left cavernous sinus thrombosis extended to the ipsilateral jugular vein and transversal sinus (Lemierre syndrome). Read More

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http://dx.doi.org/10.1080/01676830.2017.1383458DOI Listing
April 2018
18 Reads

Incompletely obliterated cranial arteriovenous fistulae are safely and effectively treated with adjuvant ε-aminocaproic acid.

J Neurointerv Surg 2018 Jul 11;10(7):698-703. Epub 2017 Oct 11.

Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Background: Administration of ε-aminocaproic acid (εACA), as adjuvant therapy following incompletely embolized cranial dural arteriovenous (dAVFs) and direct carotid artery to cavernous sinus fistulae (CCFs), is a strategy to promote post-procedural thrombosis. However, the efficacy of εACA to treat incompletely obliterated dAVFs and CCFs has not been published. The purpose of this study was to determine if administration of εACA following incomplete embolization of cranial dAVFs or CCFs was associated with an increased likelihood of cure on follow-up imaging compared with patients not given adjuvant εACA. Read More

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http://jnis.bmj.com/lookup/doi/10.1136/neurintsurg-2017-0134
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http://dx.doi.org/10.1136/neurintsurg-2017-013432DOI Listing
July 2018
7 Reads

Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

BMJ Case Rep 2017 Sep 28;2017. Epub 2017 Sep 28.

Department of Neurosurgery, Huntington Memorial Hospital, Pasadena, California, USA.

Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CCF thrombosed, leaving an engorged superficial middle cerebral vein (SMCV) as the only venous outflow from the cavernous sinus. Access to the CCF was made possible after careful navigation of the sigmoid sinus, the vein of Labbé and the SMCV, bypassing the need for surgical access to the SMCV or for a direct transorbital puncture. Read More

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http://dx.doi.org/10.1136/bcr-2017-013229DOI Listing
September 2017
15 Reads