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Cavernous Sinus Thrombosis

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Fusobacterium necrophorum Septicemia Leading to Lemierre’s Syndrome in an Immunocompetent Individual: A Case Report.

Balarama K Surapaneni, Hanad Omar, Michele M Iguina, Manuel Suarez,

Lemierre syndrome is a life-threatening condition associated with infection by obligate anaerobes residing in oropharyngeal mucosa. The most common organism responsible is Fusobacterium necrophorum. We report a case in a 69-year-old gentleman. The man with past medical history of hypertension, anxiety and chronic alcohol abuse was brought in by his family for ... Read more >>

Cureus (Cureus)
[2020, 12(3):]

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MR imaging of cavernous sinus thrombosis.

Harsimran Bhatia, Ravinder Kaur, Raveena Bedi,

Purpose:To determine the role of Contrast enhanced MRI (CEMRI) in the evaluation of Cavernous sinus thrombosis (CST). Method:The study included 7 patients with an imaging diagnosis of cavernous sinus thrombosis. A retrospective analysis of Contrast enhanced MRI of 9 affected cavernous sinuses and a control group of 7 patients (14 ... Read more >>

Eur J Radiol Open (European journal of radiology open)
[2020, 7:100226]

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Gradenigo's Syndrome with Carotid Septic Stenosis.

Ana Sousa Menezes, Daniela Ribeiro, Filipa Balona, Ricardo Maré, Cátia Azevedo, Jaime Rocha, Luís Dias,

Gradenigo's syndrome was firstly described in 1907 by Giusseppe Gradenigo and is defined as the clinical triad of suppurative otitis media, ipsilateral abducens nerve palsy, and pain in the distribution of the first and the second branches of the trigeminal nerve. Since the advent of antibiotics, the incidence of this ... Read more >>

Case Rep Otolaryngol (Case reports in otolaryngology)
[2020, 2020:9439184]

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Imaging of cerebral venous thrombosis.

A Ghoneim, J Straiton, C Pollard, K Macdonald, R Jampana,

The incidence of cerebral venous thrombosis (CVT) is increasing due to the widespread use of computed tomography (CT) and magnetic resonance imaging (MRI) for investigating patients with acute headaches and new onset of seizures. Alternatively referred to as cerebral venous sinus thrombosis (CVST) or dural venous sinus thrombosis (DVST), the ... Read more >>

Clin Radiol (Clinical radiology)
[2020, 75(4):254-264]

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Superior Optic Vein Thrombosis Related to Orbital Cellulitis Secondary to Aquatic Injury.

Zeynep Günes Ozunal, Sibel Karsidag, Sevki Sahin,

A 52-year-old woman presented with orbital cellulitis and sixth cranial nerve palsy as a result of striking the tail of a stingray while swimming. Her ophthalmologic and neurologic examination showed injury of the conjunctiva, corneal abrasion without mention of foreign body, contusion of the eyelid, and isolated lateral gaze palsy ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7080]

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Cavernous sinus thrombosis caused by Streptococcus constellatus-associated Lemierre syndrome presenting as an isolated abducens nerve palsy.

Landon J Rohowetz, Sean M Gratton, Daniel Dansdill, Cory J Miller, Sarah Dubin,

Purpose:To describe a patient with Streptococcus constellatus-associated Lemierre syndrome complicated by eventual cavernous sinus thrombosis (CST) that manifested as an isolated abducens nerve palsy. Observations:A patient with a history of heavy alcohol use presented with Lemierre syndrome caused by an odontogenic infection due to Streptococcus constellatus. Despite initiation of intravenous ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2020, 18:100592]

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Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases.

Gian-Luca Fadda, Anna D'Eramo, Alessandro Grosso, Andrea Galizia, Giovanni Cavallo,

Introduction:Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds some light on the extent of disease and intracranial and intra-orbital ... Read more >>

Iran J Otorhinolaryngol (Iranian journal of otorhinolaryngology)
[2020, 32(109):101-107]

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Dural arteriovenous fistulas and headache features: an observational study.

Ilenia Corbelli, Francesca De Maria, Paolo Eusebi, Michele Romoli, Gabriela Cardaioli, Mohammed Hamam, Piero Floridi, Letizia Maria Cupini, Paola Sarchielli, Paolo Calabresi,

BACKGROUND:Dural arteriovenous fistulas are intracranial vascular malformations, fed by dural arteries and draining venous sinuses or meningeal veins. Clinical course varies widely and ranges from benign with spontaneous remission to fatal, due to cerebral hemorrhage. In a 10-year single institution experience, clinical presentation of dural arteriovenous fistulas, and in particular ... Read more >>

J Headache Pain (The journal of headache and pain)
[2020, 21(1):6]

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Acute dacryocystitis with giant lacrimal abscess: a case report.

Maria Di Cicco, Elisabetta Maria Bellino, Andrea Marabotti, Laura Luti, Diego G Peroni, Giampiero I Baroncelli,

BACKGROUND:We report a case of a 4-year-old girl with acute dacryocystitis complicated with giant lacrimal abscess who underwent open dacryocystectomy as resolutive surgery. CASE PRESENTATION:A 4-year-old previously healthy girl presented to the emergency department with a voluminous and erythematous, fluctuant warm mass localized inferiorly to the medial canthus of the ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2020, 46(1):15]

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Traumatic Injury of Major Cerebral Venous Sinuses Associated with Traumatic Brain Injury or Head and Neck Trauma: Analysis of National Trauma Data Bank.

Adnan I Qureshi, Sindhu Sahito, Jahanzeb Liaqat, Premkumar Nattanmai Chandrasekaran, Farhan Siddiq,

Background:The natural history and epidemiological aspects of traumatic injury of major cerebral venous sinuses are not fully understood. We determined the prevalence of traumatic injury of major cerebral venous sinuses and impact on the outcome of patients with traumatic brain injury, and/or head and neck trauma. Methods:All the patients who ... Read more >>

J Vasc Interv Neurol (Journal of vascular and interventional neurology)
[2020, 11(1):27-33]

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Thyroid carcinoma with atypical metastasis to the pituitary gland and unexpected postmortal diagnosis.

Anna Popławska-Kita, Marta Wielogórska, Łukasz Poplawski, Katarzyna Siewko, Agnieszka Adamska, Piotr Szumowski, Piotr Myśliwiec, Janusz Myśliwiec, Joanna Reszeć, Grzegorz Kamiński, Janusz Dzięcioł, Dorota Tobiaszewska, Małgorzata Szelachowska, Adam Jacek Krętowski,

Summary:Papillary thyroid gland carcinoma is the most common type of malignancy of the endocrine system. Metastases to the pituitary gland have been described as a complication of papillary thyroid cancer in few reported cases since 1965. We report the case of a 68-year-old female patient with a well-differentiated form of ... Read more >>

Endocrinol Diabetes Metab Case Rep (Endocrinology, diabetes & metabolism case reports)
[2020, 2020:]

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Orbital Apex Syndrome: A Review.

Akshay Badakere, Preeti Patil-Chhablani,

Orbital apex syndrome is characterized by vision loss from optic neuropathy and ophthalmoplegia due to the involvement of ocular motor nerves in the anatomical region of the orbital apex. Patients could present with signs and symptoms deriving from the involvement of structures within the orbital apex, the superior orbital fissure ... Read more >>

Eye Brain (Eye and brain)
[2019, 11:63-72]

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Where Did the Dura Mater Come from?

Dae Chul Suh,

Neurointervention (Neurointervention)
[2020, 15(1):2-3]

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Seeing beyond the gut: An unusual cause of massive hematemesis.

S Giragani, A R Kasireddy, M V Rao, C R Deevaguntla,

We report the clinical details, imaging findings, and management of a 74-year-old male who had recurrent episodes of massive hematemesis secondary to rupture of a cavernous internal carotid artery (ICA) aneurysm. Ruptured ICA aneurysms may present with epistaxis. However, intracranial aneurysmal rupture with hematemesis as the presenting complaint has not ... Read more >>

J Postgrad Med (Journal of postgraduate medicine)
[2020, 66(1):45-47]

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Comparative preoperative characteristics and postoperative outcomes at a private versus a safety-net hospital following endoscopic endonasal transsphenoidal resection of pituitary adenomas.

Janelle Cyprich, Dhiraj J Pangal, Martin Rutkowski, Daniel A Donoho, Mark Shiroishi, Chia-Shang Jason Liu, John D Carmichael, Gabriel Zada,

OBJECTIVE:Sociodemographic disparities in health outcomes are well documented, but the effects of such disparities on preoperative presentation of pituitary adenomas (PA) and surgical outcomes following resection are not completely understood. In this study the authors sought to compare the preoperative clinical characteristics and postoperative outcomes in patients undergoing PA resection ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-8]

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[Cavernous sinus syndrome secondary to thrombophlebitis due to Streptococcus intermedius complicated with vasculitis of the internal carotid artery and brain abscesses].

D A Anguizola-Tamayo, A Ballvé-Martín, D Campos-Fernández, M Morais-Dias, M Deck, A García-Tornel, M Muchada, C Vert, M Rubiera,

INTRODUCTION:Thrombophlebitis of the cavernous sinus is a severe infectious disease with high mortality and morbidity. It is usually diagnosed at a late stage and requires a number of visits to the emergency department in most cases, and the prognosis is highly dependent on prompt treatment. Despite its severity, evidence regarding ... Read more >>

Rev Neurol (Revista de neurologia)
[2020, 70(1):19-22]

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An Unusual Case of Modified Lemierre's Syndrome Caused by Staphylococcus aureus Cellulitis.

Israa A Elhakeem, Shaikha D Al Shokri, Abdul-Naser Y Elzouki, Mohammed I Danjuma,

BACKGROUND Lemierre's syndrome is a potential life-threatening disease commonly occurring in young, healthy individuals. It is often preceded by an oropharyngeal infection causing bacteremia. This may rapidly progress into thrombophlebitis of the internal jugular venous system, its branches, and septic embolization and often fulminant organ failure. CASE REPORT A previously ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e916575]

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A Case of Idiopathic Orbital Inflammation with Shallow Anterior Chamber and Choroidal Detachment.

Yohei Sato, Natsuko Mano, Hiroko Watanabe, Makiko Miyamoto, Kazuhiro Shimizu, Noriko Mukai, Masashi Mimura, Hidehiro Oku, Tsunehiko Ikeda,

We report a case of idiopathic orbital inflammation with a shallow anterior chamber and choroidal detachments. This study involved an 87-year-old female patient who presented at our department after becoming aware of the progression of diplopia. Examination of the patient's right eye revealed proptosis, as well as conjunctival edema with ... Read more >>

Case Rep Ophthalmol (Case Reports in Ophthalmology)
[2020, 11(1):8-15]

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An Unusual Retinal Vessel Modification in Patients Affected by JIA-Uveitis with a Follow-Up Longer Than 16 Years.

Alessandro Abbouda, Irene Abicca, Simone Bruschi, Federico Ricci, Gianluca Aloe, Maria Pia Paroli,

Purpose:To report unusual and rare clinical changes of retinal vessel pattern in a series of patients affected by Juvenile Idiopathic Arthritis (JIA) uveitis with a follow-up longer than 16 years. Methods:A series of three patients with JIA-uveitis followed at the University of Rome "Sapienza" from 1998 to 2014 were reported. ... Read more >>

Case Rep Ophthalmol Med (Case reports in ophthalmological medicine)
[2020, 2020:4720819]

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Pott's Puffy Tumor: A Potentially Deadly Complication of Sinusitis.

Matthew J Joo, Kurt E Schapira,

Pott's puffy tumor (PPT) is a rare but potentially deadly complication of bacterial sinusitis that consists of subperiosteal abscess and osteomyelitis of the frontal bone. It is best diagnosed with computerized tomography (CT) with intravenous contrast or magnetic resonance imaging and treated with early broad-spectrum antibiotics and surgical intervention. We describe ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6351]

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Treatment of low flow, indirect cavernous sinus dural arteriovenous fistulas with external manual carotid compression - the UK experience.

Pratipal Kalsi, Rajeev Padmanabhan, Manjunath Prasad K S, Nitin Mukerji,

Introduction: External manual carotid compression (EMCC) is a treatment option for indirect cavernous sinus dural arteriovenous fistulas (CS-DAVF). The exact mechanism of how this works is unclear but compression of the carotid and jugular produces thrombus in the cavernous sinus (CS). Although compression of the superior ophthalmic vein (SOV) has ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-3]

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Cerebral Venous Sinus Thrombosis with Bilateral Abducens Palsy in a Patient with Heterozygous Prothrombin G20210A Mutation.

Soujanya Sodavarapu, Saiyed W Ali, Megha Goyal,

We present a rare case of cerebral venous thrombosis in a patient with heterozygous mutation of the prothrombin G20210A gene. A 24-year-old Caucasian male complained of sudden onset diplopia due to bilateral abducens palsy and throbbing headache with pulsatile tinnitus. Computed tomography revealed extensive thrombus in the right sigmoid sinus, ... Read more >>

Cureus (Cureus)
[2019, 11(11):e6124]

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Septic cavernous sinus thrombosis in a paediatric patient with undiagnosed thrombophilia.

Shafee Salloum, Joseph Bowens, Jordan Wright, Elizabeth Ey,

A previously healthy 8-year-old girl presented to the hospital with right periorbital and forehead swelling in the setting of a 1-week history of upper respiratory symptoms. Contrast-enhanced CT revealed pansinusitis with orbital and frontal abscesses and thrombosis of the anterior portion of the superior sagittal sinus. She was treated with ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(10):]

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When the Problem Became the Solution.

Ari Shemesh, Laila Al-Shafai, Timo Krings, Edward Margolin,

We present a unique case where a young man developed subtle cavernous sinus thrombosis (CST) due to underlying hypercoagulable state. He also had coexisting frontal lobe brain dural arteriovenous fistula (bdAVF). After CST developed, venous drainage from the optic nerve was redirected into the frontal lobe which was already under ... Read more >>

Can J Neurol Sci (The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques)
[2019, 46(6):767-769]

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Lemierre Syndrome. A Forgotten Disease. Case Report and Review of Literature.

Apar Pokharel, Prabhat Basnet, Bibek Sharma, Kripesh Thapa,

Introduction:Lemierre syndrome is a serious condition that associates oropharyngeal infection and thrombosis of the internal jugular vein (IJV) with subsequent distant septic emboli, most frequently in the lungs. Case presentation:A 70-year-old female with retropharyngeal abscess developed features of Lemierre syndrome. The condition was managed with serial aspiration of the abscess ... Read more >>

Int Med Case Rep J (International medical case reports journal)
[2019, 12:367-371]

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