Cavernous sinus thrombosis
DOI:
https://doi.org/10.35954/SM2015.34.1.5Keywords:
Anticoagulants; Antibiotic Prophylaxis; Cavernous Sinus; Cavernous Sinus ThrombosisAbstract
Material and methods: We present the clinical case of a 63-year-old patient who consulted for right fronto-orbital headache and fever. He added vomiting and diplopia in the right eye, confirming on examination paresis of the right external rectum without chemosis or pain. There were no alterations in the initial paraclinical examination (imaging and laboratory techniques), and 3 days later she developed right proptosis, bipalpebral edema and flushing with increased headache and nausea. Magnetic Resonance Imaging (MRI) of the orbit reports orbital and right periorbital cellulitis, thrombosis of the superior ophthalmic vein and cavernous sinus. Blood cultures were positive for Streptococcus viridans.
Results: treatment with broad-spectrum antibiotics was performed, with coverage for S. aureus and anticoagulation, not requiring surgical treatment, with good evolution without ophthalmologic sequelae.
Conclusions: cavernous sinus thrombosis is the final complication of orbital cellulitis, which requires early detection for timely treatment, sometimes requiring surgery.
Received for review: May 2015
Accepted for publication: June 2015
Correspondence: 8 de Octubre 3020 C.P. 11600, Montevideo, Uruguay. Tel: (+598)24876666 int. 1955.
Contact e-mail: carocastri@yahoo.com.ar
Downloads
References
(1) Rodríguez M, García J. Trombosis del seno cavernoso. Rev Sanid Milit Mex 2004; 58(2): 111-3.
(2) Rivera C, Pérez R. Trombosis de las venas y senos cerebrales. En: Guía Neurológica 8: Enfermedad Cerebrovascular. Capítulo 10. p. 173-186.
(3) Trombosis Séptica del Seno Cavernoso. Neurocirugía 2006. (1 página en pantalla). Disponible en: http://neurocirugiajaveriana.blogspot.com/2006/02/trombosis-sptica-del-seno-cavernoso.html [Consulta 10/06/2015]
(4) Calderón M, Camacho M, Fernández E. Trombosis del seno cavernoso. Gac Med Boliviana 2009; 32 (2):44-7.
(5) Bousser M, Ferro J. Cerebral venous thrombosis: an update. Lancet Neurol 2007; 6(2):162-70.
(6) Saposnik G, Barinagarrementeria F, Brown R, Bushnell C, Cucchiara B, Cushman M, et.al. Diagnosis and Management of Cerebral Venous Thrombosis. Stroke 2011; 42(4): 1158-1192.
Published
How to Cite
Issue
Section
License
Until 2024 we use the Creative Commons Attribution/NonCommercial Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/deed.es. Which states that: you are free to share, copy and redistribute the material in any medium or format, as well as to adapt, remix, transform and build upon the material. Under the following terms:
Attribution: you must give proper credit , provide a link to the license, and indicate if changes have been made . You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
NonCommercial: you may not use the material for commercial purposes.
As of 2025 authors retain their copyright and assign to the journal the right of first publication of their work, which shall simultaneously be subject to the license https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es that permits sharing, copying and redistribution of the material in any medium or format provided that initial publication in this journal is indicated. Adapt, remix, transform and build upon the material. If you remix, transform, or build from the material, you must distribute your contribution under the same license as the original and may not make use of the material for commercial purposes.
Under the following terms:
1. Attribution: you must give proper credit, provide a link to the license, and indicate whether changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
2. NonCommercial: you may not use the material for commercial purposes.
3. ShareAlike: if you remix, transform or build upon the material, you must distribute your contribution under the same license as the original.
PlumX Metrics
