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- Title
Fulminant Superior Ophthalmic Vein and Cavernous Sinus Thrombophlebitis with Intracranial Extensions: Case Reports.
- Authors
Jisun Hwang; Hyun Sook Hong; Jisang Park; Aleum Lee; Eun Ju Choo; Kee-Hyun Chang
- Abstract
Cavernous sinus thrombophlebitis (CST) is a rare and life-threatening disease without prompt diagnosis and treatment. Two cases of fulminant superior ophthalmic vein (SOV) and CST caused by maxillary periodontitis and sphenoid sinusitis are described. A 65-year-old woman presented with right proptosis, headache, and fever. A 74-year-old woman presented with left periorbital swelling. In both patients, MRI with gadolinium showed expansion of the bilateral cavernous sinus and diffuse dilatation of the SOV with non-enhancement of central thrombus, which indicated CST. The condition was complicated by brain abscess, meningitis, and ischemic stroke. These conditions were improved by antibiotic treatment, but one patient underwent exenteration of the orbit due to orbital rupture during hospitalization.
- Subjects
CAVERNOUS sinus thrombosis; THROMBOPHLEBITIS; OPHTHALMIC artery; MAGNETIC resonance imaging; ANTIBIOTICS; THERAPEUTICS
- Publication
Journal of the Korean Society of Radiology, 2015, Vol 72, Issue 6, p418
- ISSN
1738-2637
- Publication type
Case Study
- DOI
10.3348/jksr.2015.72.6.418