HEMIPARESIS AS A RARE PRESENTATION OF CAVERNOUS SINUS THROMBOSIS

Divakar Kumar, Dr. Vidyapati, Malyaban das, Prajit mazumdar, Ruth K Tara

Abstract


Cavernous sinus thrombosis refers to clotting within the cavernous sinus, usually resulting from infection such as sinusitis, orbital
or preseptal cellulitis or otitis media . The valveless nature of the veins connecting the cavernous sinus causes easy spread of
infection. Septic cavernous sinus thrombosis is seldom seen now as the incidence of cavernous sinus thrombosis has been
decreased greatly with the advent of potent antimicrobial agents. Septic cavernous sinus thrombosis follows a facial or sphenoid
sinus infection.
Hemiplegia is a fairly unusual presentation of cavernous sinus thrombosis and in most cases is due to involvement of the internal
carotid artery. We report here a case of cavernous sinus thrombosis, which was associated with rare complication of hemiparesis
due to middle cerebral artery territory infarct. Hence, early recognition by MRI is the key factor for the accurate diagnosis of
extension of intracranial complication and involvement of narrowing of the Internal Carotid Artery.
Therefore we suggest that in patients of ischemic stroke, careful cranial nerve and ophthalmological examination should be done
to rule out cavernous sinus thrombosis so that proper antibiotics can be started at the earliest so as to reduce morbidity and
mortality.


Keywords


cavernous sinus thrombosis, Internal carotid artery, hemiparesis

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References


KANSKI’S CLINICAL OPHTHALMOLOGY A systemic approach, BRAD BOWLING, 8/e;3:92.

Diseases of EAR, NOSE and THROAT & HEAD and NECK SURGERY, 6/e PL Dhingra, ShrutiDhingra and DeekshaDhingra; 38:201

Singh Y, Singh M, Saxena SR, Kumar J(2014) Pansinusitis, Cavernous sinus thrombosis and cerebral infarction. J Med Invest Pract 9(2): 95-97.

Hoshino C, Satoh N, Sugawara S, Kuriyama, C Kikuchi A, Ohta M .Intern Med 2007; 46(6): 317-23.

King MD, Day RE, Oliver JS, Lush M, Watson JM.solvent encephalopathy. Br Med J (Clin Res Ed). 1981 Sep 5;283(6292):663-5

HARRISON’S PRINCIPLES OF INTERNAL MEDICINE,Longo DL,AS Fauci; DL Kasper; SL Hauser;J Jameson; JL Loscalzo:NewYork,NY:McGraw-Hill:Vol 1:18/e: 121:1029

K.S. Madhusudhan, H. Kandpal and J. Ahuja, Cavernous sinus thrombophlebitis causing reversible narrowing of Internal Carotid Artery, Neurol India 57 (2009), 102-103

UZAN M, CIPLAK N, DASHTI SG, BOZKUSH, ER DINCLER P, AKMAN C. Case report. J.Neurosurg.1998;88(3):598-600.


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