Cavernous sinus thrombophlebitis may occur as a complication of infectious and noninfectious processes. Septic thrombosis of the cavernous sinuses is a serious life threatening condition, and most commonly follows midfacial skin infections due to Staphylococcus aureus. Isolated sphenoid sinusitis is a rare and elusive clinical problem, and it is an uncommon cause of cavernous sinus thrombosis. We report a case of cavernous sinus thrombophlebitis of spheoid sinusitis origin. A good result has been achieved with immediate medical measures and surgical drainage.
Cavernous Sinus Thrombosis* ; Cavernous Sinus* ; Drainage ; Sinusitis ; Skin ; Sphenoid Sinus* ; Sphenoid Sinusitis* ; Staphylococcus aureus ; Thrombophlebitis ; Thrombosis

Rhinocerebral mucormycosis, which is a fulminant and progressive disease often seen in debilitated hosts! Requires a high degree of clinical suspicion to promptly diagnose and an aggressive medical and surgical therapy. The prognosis is grave, especially in case of bilateral cavernous sinus thrombosis. We report a case of 69-year-old female patient with bilateral cavernous sinus thrombosis caused by rhinocerebral mucormycosis, who showed orbital swelling and lateral bulging of bilateral cavernous sinus in orbital CT, and large branching nonseptate hypae in biopsed specimen of the left periorbital necrotic tissue.
Aged ; Cavernous Sinus Thrombosis ; Cavernous Sinus* ; Female ; Humans ; Mucormycosis* ; Orbit ; Prognosis

Mycotic aneurysms of the intracavernous segment of the internal carotid artery secondary to cavernous sinus thrombophlebitis are exceedingly rare. The authors report a case with mycotic pseudoaneurysm in the cavernous portion of the internal carotid artery with clinical and angiographic evidence cavernous sinus thrombosis. The strikingly development of the pseudoaneurysms was demonstrated by digital subtraction angiography.
Aneurysm, False* ; Aneurysm, Infected ; Angiography, Digital Subtraction ; Carotid Artery, Internal* ; Cavernous Sinus Thrombosis* ; Cavernous Sinus*

Foreign bodies of the parapharyngeal space are rarely encountered in the otolaryngological fields, and may cause severe complications such as descending suppurative mediastinitis, jugular thrombophlebitis with septic pulmonary emboli, cavernous sinus thrombosis, and carotid erosion. Therefore, early diagnosis and surgical intervention are needed to reduce morbidity and motality. Recently, we experienced two cases penetrating injury of parapharyngeal foreign bodies (woodstick). The one was penetrated in right parapharyngeal space from left medial canthal area and the other in left parapharyngeal space from left infraorbital area. They were removed by skin incision and transantral approach with Caldwell-Luc operation, and we report these cases with a review of literature.
Cavernous Sinus Thrombosis ; Early Diagnosis ; Foreign Bodies* ; Mediastinitis ; Skin ; Thrombophlebitis

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.
Anti-Bacterial Agents ; Cavernous Sinus Thrombosis* ; Cavernous Sinus* ; Incidence ; Inflammation ; Magnetic Resonance Imaging ; Mortality ; Paralysis* ; Petrositis* ; Prognosis ; Steroids ; Thrombophlebitis ; Thrombosis

Septic cavernous sinus thrombosis usually results from facial infection, paranasal sinusitis, otitis, dental infection, rarely, orbital cellulitis and is a serious sequalae-remained condition which has high mortality rate regardless of treatment. In early phase, it may be difficalt to differentiate orbital cellulitis from that disease because of similar clinical manifestations. We have experienced one case of septic cavernous sinus thrombosis which was caused by paranasal sinusitis and complicated by meninightis and sepsis in 45-year-old male who had taken self-medication for many years due to rheumatoid arthritis. We report this case with review of available literature.
Arthritis, Rheumatoid ; Cavernous Sinus Thrombosis* ; Cavernous Sinus* ; Humans ; Male ; Meningitis ; Middle Aged ; Mortality ; Orbital Cellulitis ; Otitis ; Sepsis* ; Sinusitis

PURPOSE: To elucidate the incidence of Gd-DTPA enhancement of the optic nerve/sheath complex (ONC) in patients with various ophthalmopathies using fat-suppression MRI. MATERIALS AND METHODS: Orbit MRI with fat-suppression technique (ChemSat) was performed in 58 patients with normal and various orbital lesions. The fat-suppression MR was done with and without Gd-DTPA injection in all cases. MR findings were reviewed retrospectively in a blind fashion with respect to presence or absence of contrast enhancement of the O NC. RESULTS: Contrast enhancement of the ONC was seen in 86% (6/7) of cavernous sinus lesions, 80% (8/10) of intraconal lesions excluding the ONC, 57% (16/28) of ONC lesions, 38% (3/8) of ocular lesions, and 2% (1/55) of normal orbits. The ONC enhancement was the most common in optic nerve/sheath tumors (10/10), and pseudotumors (6/6), cavernous sinus dural arteriovenous malformations (3/3) and cavernous sinus thrombosis (2/2), and less frequently seen in optic neuritis (3/14). CONCLUSION: Enhancement of the ONC may be seen in lesions of the cavernous sinusand orbit other than optic nerve/sheath lesion.
Arteriovenous Malformations ; Cavernous Sinus ; Cavernous Sinus Thrombosis ; Gadolinium DTPA ; Humans ; Incidence* ; Magnetic Resonance Imaging* ; Optic Neuritis ; Orbit* ; Retrospective Studies

Cavernous sinus thrombosis not only presents with constitutional symptoms including fever, pain and swelling but also with specific findings such as proptosis, chemosis, periorbital swelling, and cranial nerve palsies. It is known to occur secondary to the spread of paranasal sinus infections in the nose, ethmoidal and sphenoidal sinuses. However, paranasal sinus infection of dental origin is rare. The following is a case of cavernous sinus thrombosis due to the spread of an abscess in the buccal and pterygomandibular spaces via buccal mucosal laceration.
Abscess ; Cavernous Sinus ; Cavernous Sinus Thrombosis* ; Cranial Nerve Diseases ; Exophthalmos ; Fever ; Focal Infection, Dental ; Lacerations ; Nose ; Sepsis

Intracranial mycotic aneurysms are secondary to infectious endocarditis, meningoencephalitis, cavernous sinus thrombophlebitis, sinusitis, and bacteremia. Usually mycotic aneurysms are arising on distal cerebral vessels, but rarely on internal carotid artery. We experienced mycotic aneurysm of ICA followed by meningoencephalitis and thrombophlebitis in both cavernous sinuses. We observed occurrence of mycotic aneurysm by sequential image, and good result after endovascular treatment. So we present our case.
Aneurysm, Infected* ; Bacteremia ; Carotid Artery, Internal* ; Cavernous Sinus ; Cavernous Sinus Thrombosis ; Endocarditis ; Intracranial Aneurysm ; Meningoencephalitis ; Sinusitis ; Thrombophlebitis

Pituitary abscess may be caused by direct extension of contiguous infections from purulent sphenoid sinusitis, meningitis or cavernous sinus thrombophlebitis. It also develop after craniotomy or transsphenoidal hypophysectomy. In some cases, it was associated with primary pituitary tumor or cyst which were vulnerable to infection because of impaired circulation, areas of necrosis or local immunological impairment. Primary pituitary abscess may also occur without any preceding infection. Since the clinical features, computed tomographic findings, and laboratory data of primary pituitary abscess were similar to pituitary tumor, preoperative diagnosis of pituitary abscess is difficult. Inhomogenous enhancement with central low density and focal bulge at the level of diaphragm was reported to be compatible with computed tomographic findings of pituitary abscess.
Abscess* ; Cavernous Sinus Thrombosis ; Craniotomy ; Diagnosis ; Diaphragm ; Hypophysectomy ; Meningitis ; Necrosis ; Pituitary Neoplasms ; Sphenoid Sinus ; Sphenoid Sinusitis