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Review
. 2016 Oct 19;40(6):263-276.
doi: 10.1080/01658107.2016.1230138. eCollection 2016 Dec.

Septic Cavernous Sinus Thrombosis: Case Report and Review of the Literature

Dinushi Weerasinghe  1 , Christian J Lueck  1
Affiliations
Review

Septic Cavernous Sinus Thrombosis: Case Report and Review of the Literature

Dinushi Weerasinghe et al. Neuroophthalmology. .

Abstract

Septic cavernous sinus thrombosis is a rare but serious complication of infection of the cavernous sinuses. There are no randomised, controlled trials of management of this condition and existing reviews of the literature are somewhat dated. The authors report a case with a favourable outcome and then present the findings of a literature review of the management of this condition. Outcome data suggest that corticosteroids are of equivocal benefit whereas antibiotics and anticoagulation are beneficial.

Keywords: Cavernous sinus thrombosis; infection; treatment.

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Figures

Figure 1.
Figure 1.
(A) Brain MRI (T1-weighted with gadolinium) showing non- opacification of the right cavernous sinus. (B) Contrast-enhanced brain CT showing bilateral engorged thrombosed superior ophthalmic veins. (C) Chest X ray showing multiple opacities in the lungs and left-sided pleural effusion.
Figure 2.
Figure 2.
Patient outcome following use of steroids and anticoagulation.
See this image and copyright information in PMC

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