Cavernous sinus thrombosis is a very rare, lifethreatening condition that can affect adults and children in cavernous sinus thrombosis, a blood clot blocks a vein that runs through a hollow. Thrombophlebitis of the cavernous sinus is a rare but serious disease that most often affects young adults and children. Il sse poursuient par le sinus sigmoide les sinus sigmoides suivent sillon leur. Thrombose du sinus caverneux compliquant une ethmoidite aigue. Cavernous sinus thrombosis eye disorders msd manual. The full text of this article is available in pdf format. Thrombose du sinus caverneux sur sinusite frontale. Le sinus sphenoidal et les cellules ethmoidales etaient dopacite homogene.
The most common are neurogenic tumors and cavernoma. Imaging lesions of the cavernous sinus american journal of. See that article for a discussion of the larger clinical entity. Cavernous sinus thrombosis caused by a dental infection. Cavernous sinus thrombosis is generally a fulminant process with high rates of morbidity and mortality. The cavernous sinuses are a series of hollow spaces located under the bottom of the brain, behind each eye socket. It is caused by a bacterial infection that typically originates in the face, sinuses, ears, or orbits 1.
Cavernous sinus thrombosis is usually a late complication of an infection of the central face or paranasal sinuses. The cs is related to the internal carotid artery, tri. Surgery is sometimes needed to drain the infection. Departmental guidelines anatomy cavernous sinus 2cm in length, height of 1cm paired venous sinus, on either side of body of sphenoid. Thrombose du sinus caverneux troubles oculaires edition. The dural sinuses are grouped into the sagittal, lateral including the transverse, sigmoid, and petrosal sinuses, and cavernous sinuses. In our modern age of computerization and laboratorybased medical care, cavernous sinus thrombosis demands the diagnostic skill of the clinician, whose prompt ministrations should usually yield a favourable result. Cavernous sinus neoplasms cavernous sinus tumors are the most common cause of cavernous sinus sindrome. Thrombosis of the cavernous sinus most often results from an attack on its walls by an inflammatory process of a neighboring organ. Infections of the paranasal sinuses and adjacent structures, craniocerebral trauma, and thrombophilia are associated conditions.
Cavernous sinus thrombosis is often misdiagnosed because it is rare. It is dual, symmetrical, and located laterally to the sella turcica of the sphenoid bone in the middle cranial fossa. Jul 16, 2018 cavernous sinus thrombosis cst was initially described by bright in 1831 as a complication of epidural and subdural infections. Dec 07, 2014 because of its complex neurovascular anatomic relationship, cavernous sinus thrombosis is the most important of any intracranial septic thrombosis. Despite the tendency for one syndrome to merge into another, this is a con. The diagnosis is based on clinical findings and is confirmed by imaging.
Cavernous sinus trombosis dr munish kumar g b pant delhi 2. Thrombose, sinus caverneux, tuberculose multifocale. It occurs mostly in children and young adults, often complicating the evolution of an infectious process of the face. Pdf une pan sinusite, compliquee dune thrombophlebite du. It should be considered in patients who have signs consistent with orbital cellulitis. Cavernous sinus anatomy large venous space situated in the middle cranial fossa, on either side of body of the sphenoid bone. Pdf cavernous sinus thrombosis of odontogenic origin. Pdf cavernous sinus thrombophlebitis complicating sinusitis. Pdf on oct 8, 2008, urs fischer and others published thromboses.
Cavernous sinus thrombosis caused by a dental infection 197 papilledema, and venous engorgement occur in 50%80% of patients. Les sinus caverneux sont des cavites situees sous le cerveau, derriere chaque orbite. Le traitement consistait en une antibiotherapie par voie veineuse vancomycine associee a du metronidazole pendant 4 semaines. Nous rapportons le cas dune thrombose du sinus caverneux tsc. In some cases, however, no local subjacent phenomenon can be demonstrated in spite of the most thorough. Thrombosis of the cavernous sinus secondary to dental. It is a network of veins that sit in a cavity, approximately 1 x 2 cm in size in an adult. Cavernous sinus thrombosis cst is a rare condition, defined as a septic thrombophlebitis of the cavernous sinus. The signs and symptoms are extremely varied and nonspecific, being. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Cavernous sinus thrombosis cst is a rare condition, usually results from a late complication of an infection of the paranasal sinuses. It has become uncommon since the introduction of antibiotics.
The cavernous sinus is one of the several cerebral veins and cavernous sinus thrombosis is a specific type of cerebral venous sinus thrombosis. Thrombosis, cavernous sinus, multifocal tuberculosis. Cavernous sinus thrombosis eye disorders merck manuals. Traversed by numerous trabeculae, dividing it into a several caverns spaces, hence cavernous sinus relations. Apr 08, 20 cavernous sinus thrombophlebitis cst is a dramatic and potentially lethal disease. Other causes include prothrombotic disorders, anemia and trauma. Features that distinguish cavernous sinus thrombosis from orbital cellulitis include cranial nerve dysfunction, bilateral eye involvement, and mental status changes. Cavernous sinus thrombosis cst is the formation of a blood clot within the cavernous sinus, a cavity at the base of the brain which drains deoxygenated blood from the brain back to the heart. Cavernous sinus thrombosis is a very rare, typically septic thrombosis of the cavernous sinus, usually caused by nasal furuncles or bacterial sinusitis. It is associated with significant morbidity or mortality and is often. Cavernous sinus thrombophlebitis complicating sinusitis.
Cavernous sinus thrombosis, odontogenic focus, infection disease introduction the cavernous sinus cs is an important sinus for drainage of the brain. Cavernous sinus thrombosis is a rare and lifethreatening condition in which a blood clot develops in the cavernous sinuses. Vascular and parameningeal infections of the head and neck. Cavernous sinus thrombosis is treated with highdose antibiotics given through a vein iv if an infection is the cause. Review article cavernous sinus thrombosis of odontogenic origin. This is a rare disorder and can be of two typesseptic cavernous thrombosis and aseptic cavernous thrombosis. The technique of choice for study is mri, although ct can help recognize and identify some anomalies, such as bone destruction. Le diagnostic etait une thrombophlebite du sinus caverneux liee a une sinusite sphenoidale. Severe infection involving complications of paranasal sinus and facial. Thrombose du sinus caverneux compliquant une ethmoidite. Tumors of the nasopharynx, skull base, and sphenoid sinus may extend to the cs as can perineural and hematogenous metastases. The cavernous sinus is one of the dural venous sinuses of the head.
Tuberculosis is one of the septic cause of cerebral venous thrombosis specially in. Other causes include bacteremia, trauma, and infections of the ear or maxillary teeth. Symptoms and signs include pain, proptosis, ophthalmoplegia, vision loss, papilledema, and fever. Thrombophlebite cerebrale inhabituelle du postpartum.
Blood thinners help dissolve the blood clot and prevent it from getting worse or recurring. Lethmoidite aigue est linfection des cellules ethmoidales. Cavernous sinus thrombosis definition msh formation or presence of a blood clot thrombus in the cavernous sinus of the brain. Decreased visual acuity, sluggishdilated pupil, periorbital sensory loss, and decreased corneal re.