A Case of Cavernous Sinus Thrombophlebitis and Abducence Nerve Palsy Secondary to Petrositis.
- Author:
Shi Nae PARK
1
;
Sang Won YEO
;
Jae Young RHYOO
;
Heung Youp LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. swyeo@wonnms.wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Cavernous sinus thrombophlebitis;
Petrositis;
Conservative treatment
- MeSH:
Anti-Bacterial Agents;
Cavernous Sinus Thrombosis*;
Cavernous Sinus*;
Incidence;
Inflammation;
Magnetic Resonance Imaging;
Mortality;
Paralysis*;
Petrositis*;
Prognosis;
Steroids;
Thrombophlebitis;
Thrombosis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2002;45(1):82-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Septic inflammation and thrombosis of the cavernous sinus was extremely fatal in the preantibiotic era. After the introduction of antibiotics, the incidence of septic cavernous thrombophlebitis has diminished significantly. It is, however, still a serious disease accompanied by a high morbidity and mortality rate. Therefore, a high index of suspicion and aggressive initiation of treatment is of the utmost importance for the prognosis. A case of cavernous sinus thrombophlebitis and abducence nerve palsy which takes place secondary to petrositis was diagnosed by magnetic resonance imaging (MRI), and is presented here. The resolution of septic thrombus and complete recovery of sixth (abducens) nerve palsy was observed with treatment with antibiotics and steroids accompanied by tympanotomy tube placement.
