Gas in the cavernous sinus

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Clinical suspicion of stroke.

Patient Data

Age: 80 years
Gender: Female
ct

Small fluid level in right maxillary sinus.
Mural calcifications in cavernous carotid arteries.
Air in cavernous sinus, verified both by ROI measurement and lung window.
Status post-phacoemulsification of lenses.

Case Discussion

When not associated with sphenoid fractures or thromboembolic disease, gas in the cavernous sinus is an incidental finding and represents an air embolus from intravenous lines.

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