Cavernous Sinus Thrombosis Associated With Contralateral Pansinusitis: A Case Report

A healthy woman in her 60s presented acutely with right-sided periorbital edema, erythema, neck pain, and fever. Initial examination and investigations suggested right-sided orbital cellulitis with contralateral pansinusitis. Despite treatment with IV antibiotics, her symptoms worsened, and inflamma...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-10, Vol.16 (10), p.e71192
Main Authors: Gunness, Daphne, Duvnjak, Haris, Morris, Simon, Jones, Huw
Format: Article
Language:English
Subjects:
Abscesses
Blood clots
Case reports
Cellulitis
Diplopia
Edema
Endoscopy
Erythema
Eye movements
Hematology
Maxillofacial surgery
Mortality
Neck
Neurology
Ophthalmology
Otolaryngology
Sinuses
Sinusitis
Thrombosis
Veins & arteries
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Summary:A healthy woman in her 60s presented acutely with right-sided periorbital edema, erythema, neck pain, and fever. Initial examination and investigations suggested right-sided orbital cellulitis with contralateral pansinusitis. Despite treatment with IV antibiotics, her symptoms worsened, and inflammatory markers continued to rise. Further imaging revealed thrombosis of the right superior ophthalmic vein extending into the cavernous sinus and right jugular vein. She underwent urgent left functional endoscopic sinus surgery followed by long-term anticoagulation. After six months of anticoagulation, she remained free of morbidity, and repeat imaging confirmed the resolution of the thrombosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.71192