Atypical Cavernous Sinus Thrombosis: A Diagnosis Challenge and Dilemma

Abstract

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. Unfortunately, patients suffering from CST may not always present with typical symptoms, thus making diagnosis all the more challenging. We would like to describe a 22-year-old man who presented with atypical symptoms and radiological presentations of CST. The patient was admitted and treated in our institution with full recovery demonstrated after the treatment.

Keywords: cavernous sinus thrombosis.

Figure 1. CT scan of the cavernous sinus

Arrow pointing towards vascular-enhancing lesions on the right cavernous sinus with filling defects especially at the posterior part. CT: computed tomography