Cavernous sinus thrombophlebitis complicating sinusitis.

Background: Thrombophlebitis of the cavernous sinus is a rare but serious disease that most often affects young adults and
children. It is associated with significant morbidity or mortality and is often related to local infections of the
head. The diagnosis is based on clinical findings and is confirmed by imaging.
Case Report: We report the case of a 17-year-old male with a history of recurrent sinusitis, who presented general signs of
infection, orbital symptoms, and meningeal involvement. CT and MRI showed thrombosis of the cavernous sinus
associated with cerebral ischemic damage. The therapeutic management included empiric antibiotic therapy,
drainage of an orbital collection, and anticoagulation. The patient died later secondary to septic shock.
Conclusions: Although thrombophlebitis of the cavernous sinus is increasingly rare, it remains a lethal complication of sinusitis,
and mortality is still high. The course of this disease can be dramatic due to infectious or vascular neurological
complications. Early diagnosis and appropriate treatment are crucial

Référence2829
Année2013
TypeArticle
Lien document
Lien externehttps://www.ncbi.nlm.nih.gov/pubmed/23826444
Disciplines associéesRéanimation Polyvalente 1
AuteurBerdai AM
Auteurs associésShimi A, Khatouf M
DisciplineRéanimation mére et enfant
RevueAm J Case Rep.
Référence Revue14:99-102.