Cavernous sinus thrombosis

Case contributed by Dr Andrew Dixon

Presentation

Two hour history of blurred vision.

Patient Data

Age: 23 years
Gender: Female
CT

Non-contrast CT demonstrates dense, distended bilateral superior ophthalmic veins.  While there is some periorbital swelling, much more prominent swelling is seen within the left masticator space.

Case Discussion

Findings are chiefly those of cavernous sinus thrombosis secondary to ascending deep facial infection. S. aureus was isolated as the causative organism.

Extra clinical information:

This patient had squeezed a pimple near her left nasolabial fold 3 days prior. Within an hour of presenting to the emergency department the patient had progressed from having slightly blurred vision to complete blindness and upper airway compromise. Unfortunately she died due complications of her infection.

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Case information

rID: 10619
Case created: 26th Aug 2010
Last edited: 14th Dec 2016
Inclusion in quiz mode: Included

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