Septic cavernous sinus thrombosis with infectious arteritis of the internal carotid artery

Description

Septic cavernous sinus thrombosis (CST) is thrombophlebitis in the cavernous sinus. It is an unusual complication of paranasal sinusitis, otitis media and, less often, pharyngitis and dental infection, affecting the anatomic structures running in the cavernous sinus.1–3 Ophthalmoplaegia may be the presenting symptom of cavernous sinus thrombosis. Impaired extraocular muscle motility is seen, usually starting with a lateral gaze.3 Contrary to nervous system structures, however, the internal carotid artery (ICA) is rarely involved.

A 53-year-old woman without contributory medical history was admitted to our hospital with a high fever, left-sided headache and swelling of the left eye. Two days before admission, she developed hot flash-like symptoms and severe headache. Painful eye swelling developed on the left side 2 days later, and she visited our hospital. On physical examination, her temperature was 40.5 °C, pulse was 86 bpm and blood pressure was...

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