Septic cavernous sinus thrombosis-Case series and review of the literature.
Clin Neurol Neurosurg
; 197: 106092, 2020 10.
Article
em En
| MEDLINE
| ID: mdl-32693341
ABSTRACT
BACKGROUND AND PURPOSE:
Septic cavernous sinus thrombosis (CST) is a rare, life-threatening disease with infectious thrombosis causing associated complications resulting in high morbidity and mortality. We report a series of CST patients with assessment of arterial and intracranial complications.METHODS:
We used the radiology database from a large, academic tertiary care center to collect all patients treated with CST between 2002 and 2019. Patient demographics, source of infection, treatment course and outcomes were evaluated. A review of the recent literature was also performed for similar reported complications from CST.RESULTS:
14 patients with CST treated during this time period were assessed. Of the 14 patients, 1 patient died. 7 patients had unilateral narrowing of ICA while 3 patients had bilateral narrowing. The ICA narrowing was reversible in 10/12 patients and improvement but persistent narrowing in one patient. One patient had an infectious pseudo aneurysm that was treated by coiling. Extension of thrombosis to the transverse- sigmoid sinuses and internal jugular vein were seen in 3 patients. Three patients had subdural empyema which was treated surgically.CONCLUSION:
The prognosis of CST has improved with advancement in treatment, but complications are not infrequent.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Infecções Estafilocócicas
/
Sepse
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Trombose do Corpo Cavernoso
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article