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Cavernous Sinus

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141. Cavernous Sinus Syndromes (Treatment)

Cavernous Sinus Syndromes (Treatment) Cavernous Sinus Syndromes: Overview, Clinical Presentation, Diagnostic Workup Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE2MTcxMC1vdmVydmlldw== processing > Cavernous (...) Sinus Syndromes Updated: Jan 16, 2019 Author: Ryszard M Pluta, MD, PhD; Chief Editor: Robert A Egan, MD Share Email Print Feedback Close Sections Sections Cavernous Sinus Syndromes Overview Overview Background Cavernous sinus syndrome describes symptoms comprising ophthalmoplegia, chemosis, proptosis, Horner syndrome, and/or trigeminal sensory loss evoked by vascular, inflammatory, traumatic, congenital, or neoplastic processes affecting the cavernous sinus near the midline of the frontotemporal

2014 eMedicine.com

142. Cavernous Sinus Syndromes (Follow-up)

Cavernous Sinus Syndromes (Follow-up) Cavernous Sinus Syndromes: Overview, Clinical Presentation, Diagnostic Workup Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE2MTcxMC1vdmVydmlldw== processing > Cavernous (...) Sinus Syndromes Updated: Jan 16, 2019 Author: Ryszard M Pluta, MD, PhD; Chief Editor: Robert A Egan, MD Share Email Print Feedback Close Sections Sections Cavernous Sinus Syndromes Overview Overview Background Cavernous sinus syndrome describes symptoms comprising ophthalmoplegia, chemosis, proptosis, Horner syndrome, and/or trigeminal sensory loss evoked by vascular, inflammatory, traumatic, congenital, or neoplastic processes affecting the cavernous sinus near the midline of the frontotemporal

2014 eMedicine.com

143. Cavernous Sinus Syndromes (Diagnosis)

Cavernous Sinus Syndromes (Diagnosis) Cavernous Sinus Syndromes: Overview, Clinical Presentation, Diagnostic Workup Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE2MTcxMC1vdmVydmlldw== processing > Cavernous (...) Sinus Syndromes Updated: Jan 16, 2019 Author: Ryszard M Pluta, MD, PhD; Chief Editor: Robert A Egan, MD Share Email Print Feedback Close Sections Sections Cavernous Sinus Syndromes Overview Overview Background Cavernous sinus syndrome describes symptoms comprising ophthalmoplegia, chemosis, proptosis, Horner syndrome, and/or trigeminal sensory loss evoked by vascular, inflammatory, traumatic, congenital, or neoplastic processes affecting the cavernous sinus near the midline of the frontotemporal

2014 eMedicine.com

144. Cavernous Sinus Thrombosis (Diagnosis)

Cavernous Sinus Thrombosis (Diagnosis) Cavernous Sinus Thrombosis: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzkxNzA0LW92ZXJ2aWV3 processing > Cavernous Sinus (...) Thrombosis Updated: Jul 17, 2018 Author: Rahul Sharma, MD, MBA, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Cavernous Sinus Thrombosis Overview Background Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural infections. The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and cavernous sinuses. Because of its complex

2014 eMedicine Emergency Medicine

145. Cavernous Sinus Thrombosis (Follow-up)

Cavernous Sinus Thrombosis (Follow-up) Cavernous Sinus Thrombosis Follow-up: Further Inpatient Care, Deterrence/Prevention, Complications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzkxNzA0LWZvbGxvd3Vw (...) processing > Cavernous Sinus Thrombosis Follow-up Updated: Jul 17, 2018 Author: Rahul Sharma, MD, MBA, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Cavernous Sinus Thrombosis Follow-up Further Inpatient Care Admission to intensive care unit is indicated. Next: Deterrence/Prevention Patients should be educated that furuncles or abscesses (pimples) in the central portion of the face should not be manipulated without prior antibiotic coverage

2014 eMedicine Emergency Medicine

146. Cavernous Sinus Thrombosis (Treatment)

Cavernous Sinus Thrombosis (Treatment) Cavernous Sinus Thrombosis Treatment & Management: Emergency Department Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzkxNzA0LXRyZWF0bWVudA== processing (...) > Cavernous Sinus Thrombosis Treatment & Management Updated: Jul 17, 2018 Author: Rahul Sharma, MD, MBA, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Cavernous Sinus Thrombosis Treatment Emergency Department Care The mainstay of therapy for cavernous sinus thrombosis is early and aggressive antibiotic administration. Although S aureus is the usual cause, broad-spectrum coverage for gram-positive, gram-negative, and anaerobic organisms should

2014 eMedicine Emergency Medicine

147. Cavernous Sinus Thrombosis (Overview)

Cavernous Sinus Thrombosis (Overview) Cavernous Sinus Thrombosis: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzkxNzA0LW92ZXJ2aWV3 processing > Cavernous Sinus (...) Thrombosis Updated: Jul 17, 2018 Author: Rahul Sharma, MD, MBA, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Cavernous Sinus Thrombosis Overview Background Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural infections. The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and cavernous sinuses. Because of its complex

2014 eMedicine Emergency Medicine

148. Cavernous Sinus Thrombosis

Cavernous Sinus Thrombosis Cavernous Sinus Thrombosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cavernous Sinus Thrombosis (...) Cavernous Sinus Thrombosis Aka: Cavernous Sinus Thrombosis , Septic Cavernous Sinus Thrombophlebitis From Related Chapters II. Pathophysiology Most common infection of dural sinus thrombosis Sources Mid-face infections near the eyes and nose (e.g. nasal ) or infection (uncommon) III. Symptoms Initial (first 1-2 days) (most common Sharp pain increasing in severity becoming refractory and interferes with sleep Unilateral frontal and retroorbital ( ophthalmic and ry branches) Next Eye swelling IV. Signs

2016 FP Notebook

149. Congenital Pial Arteriovenous Fistula in the Temporal Region Draining into Cavernous Sinus: A Case Report Full Text available with Trip Pro

Congenital Pial Arteriovenous Fistula in the Temporal Region Draining into Cavernous Sinus: A Case Report This report concerns a 4-month-old infant with progressive prominent and redness of his left eye since birth. This report concerns a 4-month-old infant with progressive prominent redness of his left eye since birth. Angiography revealed a congenital pial arteriovenous fistula between the temporal branch of the left posterior cerebral artery and left cavernous sinus through (...) the sphenoparietal sinus, a condition not reported in the literature. The fistula was successfully occluded with two micro-coils by vertebrobasilar approach.

2013 Korean Journal of Radiology

150. Bilateral Persistent Trigeminal Arteries with Unilateral Trigeminal Artery to Cavernous Sinus Fistula: A Case Report Full Text available with Trip Pro

Bilateral Persistent Trigeminal Arteries with Unilateral Trigeminal Artery to Cavernous Sinus Fistula: A Case Report A 59-year-old man who denied a history of trauma presented with left pulsatile tinnitus and left orbital swelling for six months. Digital subtraction angiography showed a left persistent trigeminal artery (PTA) with a trigeminal artery to cavernous sinus (trigeminal-cavernous sinus) fistula and a right PTA. Transarterial detachable coil embolization of the left trigeminal (...) -cavernous sinus fistula was performed, and the symptoms subsided. There has been no report of bilateral PTAs with a spontaneous fistula connected from one PTA to the ipsilateral cavernous sinus. This paper reports such a rare circumstance.

2013 Interventional Neuroradiology

152. Traumatic carotid-cavernous sinus fistula accompanying abducens nerve (VI) palsy in blowout fractures: missed diagnosis of 'white-eyed shunt'. (Abstract)

Traumatic carotid-cavernous sinus fistula accompanying abducens nerve (VI) palsy in blowout fractures: missed diagnosis of 'white-eyed shunt'. We report the case of a 32-year-old woman with bilateral blowout fractures. She presented with diplopia showing impaired abduction of the left eye soon after trauma. No other orbito-ocular signs, such as exophthalmos, ptosis, or chemosis, were found. Orbital reconstruction was performed, but no improvement in her ophthalmoplegia was observed after (...) surgery. A carotid angiography showed that she was suffering from a posteriorly draining carotid-cavernous sinus fistula with isolated abducens nerve palsy. Coil embolization was conducted under the consultation of a neurosurgeon, after which her ophthalmoplegia resolved fully. This is a rare case of posteriorly draining carotid-cavernous sinus fistula without classic orbito-ocular signs, the absence of which may cause diagnostic confusion.Copyright © 2013 International Association of Oral

2013 International Journal of Oral and Maxillofacial Surgery

153. Acute sphenoid sinusitis leading to contralateral cavernous sinus thrombosis: a case report. Full Text available with Trip Pro

Acute sphenoid sinusitis leading to contralateral cavernous sinus thrombosis: a case report. The objective of this article was to report a case of isolated, acute, right-sided sphenoid sinusitis that progressed to contralateral cavernous sinus thrombosis in an 18-year-old male patient. We describe the atypical presentation of this case and discuss the relevant anatomy, pathogenesis, presentation, diagnostic evaluation and treatment.A case report of sphenoid sinusitis leading to contralateral (...) cavernous sinus thrombosis was reviewed and presented along with a comprehensive literature review of the relevant anatomy, pathophysiology, microbiology, diagnostic work-up and treatment options.Cavernous sinus thrombosis is a rare clinical entity in the antibiotic era. However, limited sphenoid sinusitis may progress to cavernous sinus thrombosis in spite of maximal medical treatment, as highlighted in this case report. The mainstay of treatment includes early diagnosis allowing aggressive intravenous

2013 Journal of Laryngology & Otology

154. Transnasal approach to the orbital apex and cavernous sinus. Full Text available with Trip Pro

Transnasal approach to the orbital apex and cavernous sinus. The aim of this study was to provide the anatomic rationale for a transnasal approach to the orbital apex and cavernous sinus, and to evaluate its applicability and efficiency.One hundred patients with lesions of the orbital apex, cavernous sinus, optic nerve, clivus, parapharyngeal space, infratemporal fossa, or pterygopalatine fossa were reviewed over a 10-year period. All patients underwent an endoscopic transnasal approach (...) to the orbital apex and cavernous sinus. The surgical technique required a standard endoscopic sinus surgery set. The possible complications were recorded and classified as intraoperative or postoperative.There were complications in 8 cases: 4 intraoperative and 4 postoperative. The intraoperative complications included rupture of the internal carotid artery in 1 patient and cerebrospinal fluid leak in 3 patients. All intraoperative complications were resolved during surgery. The postoperative complications

2013 Rhinology and Laryngology

155. Single-fraction radiosurgery of benign cavernous sinus meningiomas. Full Text available with Trip Pro

Single-fraction radiosurgery of benign cavernous sinus meningiomas. Stereotactic radiosurgery (SRS) is an important treatment option for patients with cavernous sinus meningiomas (CSM). To analyze factors associated with local tumor control and complications after single-fraction SRS, the authors reviewed cases involving patients treated with Gamma Knife SRS between 1990 and 2008.Excluded were patients with WHO Grade II or III tumors, radiation-induced tumors, multiple meningiomas

2013 Journal of Neurosurgery

156. Ophthalmic vein compression for selected benign low-flow cavernous sinus dural arteriovenous fistulas. Full Text available with Trip Pro

Ophthalmic vein compression for selected benign low-flow cavernous sinus dural arteriovenous fistulas. Dural arteriovenous fistulas (DAVFs) of the cavernous sinus are acquired arteriovenous shunts between the dural branches of the internal and external carotid arteries and the cavernous sinus. These fistulas may present with cortical venous reflux, but more commonly drain antegradely toward the superior ophthalmic vein (SOV). Transvenous embolization is the most common endovascular treatment (...) , but in some cases transvenous access to the compartment of the shunt may not be possible. In cases with no corticovenous reflux, manual compression of the SOV is an excellent alternative treatment, which is well known but rarely reported in the literature. The authors describe a series of 3 cavernous DAVFs with anterior drainage treated successfully by intermittent manual compression of the SOV.

2013 Journal of Neurosurgery

157. Rapid-developed primary malignant myoepithelioma in the cavernous sinus: a case report. Full Text available with Trip Pro

Rapid-developed primary malignant myoepithelioma in the cavernous sinus: a case report. Malignant myoepithelioma is a relatively rare malignant tumor occurring most frequently in the salivary glands. A few isolated cases have been described in other locations, including soft tissue, bone, lung, bronchus, oral cavity, nasopharynx, larynx, and maxillary sinus. Malignant myoepithelioma, however, is uncommonly involved within the cavernous sinus. To the best of our knowledge, this is the first (...) report of malignant myoepithelioma arising from within the cavernous sinus.Herein, we report a case of a 48-year-old woman who presented a 1-month history of diplopia and blepharoptosis as well as radiological evidence of a rapidly developing cavernous sinus tumor. The patient underwent a trans-sphenoidal biopsy and a histological diagnosis indicated a malignant myoepithelioma. After diagnosis, the tumor grew rapidly and her clinical condition deteriorated progressively. Therefore, a pterional

2013 BMC Neurology

158. Value of pituitary gland MRI at 7 T in Cushing's disease and relationship to inferior petrosal sinus sampling: case report. Full Text available with Trip Pro

Value of pituitary gland MRI at 7 T in Cushing's disease and relationship to inferior petrosal sinus sampling: case report. Cushing's disease is caused by adrenocorticotrophic hormone (ACTH)-secreting pituitary adenomas, which are often difficult to identify on standard 1.5-T or 3-T MRI, including dynamic contrast imaging. Inferior petrosal and cavernous sinus sampling remains the gold standard for MRI-negative Cushing's disease.The authors report on a 27-year-old woman with Cushing's disease (...) in whom the results of standard 1.5-T and 3-T MRI, including 1.5-T dynamic contrast imaging, were negative. Inferior petrosal sinus sampling showed a high central-to-peripheral ACTH ratio (148:1) as well as a right-to-left ACTH gradient (19:1), suggesting a right-sided pituitary microadenoma. The patient underwent 7-T MRI, which showed evidence of a right-sided pituitary lesion with focal hypoenhancement not visualized on 1.5-T or 3-T MRI. The patient underwent an endoscopic endonasal transsphenoidal

2018 Journal of Neurosurgery

159. Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery. (Abstract)

) of 12.9 years (+/-3.2) with an intracranial complication(s) of acute rhinosinusitis were identified between 2005-2016. A total of 22 were included and 15 (68%) of these were males. The most common complications were: subdural abscess (n=10), epidural abscess (n=10), meningitis (n=5), intraparenchymal abscess (n=5), and cavernous sinus thrombosis (n= 2). Neurologic symptoms included headache (n=12), hemiparesis (n=5) and aphasia (n=3). Average length of stay was 16 (+/- 9.2) days. Average follow up (...) Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery. To study the role of endoscopic sinus surgery (ESS) in the management of intracranial complications of children with acute rhinosinusitis METHODS: Retrospective chart review at a tertiary care pediatric hospital MAIN OUTCOMES: Demographics, intracranial complications, length of hospital stay (LOS), neurological sequelae, ESS, neurosurgical procedures RESULTS: Twenty-four children with a mean age (SD

2018 International Journal of Pediatric Otorhinolaryngology

160. Polymorphism in dural arteriovenous fistula: Matrix Metalloproteinase-2-1306 C/T as a potential risk factor for sinus thrombosis. Full Text available with Trip Pro

of location (cavernous sinus versus lateral sinus), lesions (single versus multiple), cerebral venous reflux (CVR) grading (Borden I versus Borden II/III), and sinus thrombosis (with versus without). Results We found that individuals carrying the polymorphic allele of matrix metalloproteinase (MMP)-2-1306 C/T (rs243865) had a significantly increased risk of sinus thrombosis in DAVF (odds ratio 6.2; 95% confidence interval 1.7-22.9). There was a weak difference in associations of tissue inhibitor (...) Polymorphism in dural arteriovenous fistula: Matrix Metalloproteinase-2-1306 C/T as a potential risk factor for sinus thrombosis. Essentials Sinus thrombosis may play a crucial role in development of dural arteriovenous fistula (DAVF). Little is known about the association between gene polymorphism and the development of DAVF. MMP-2-1306 C/T showed a higher prevalence rate in DAVF cases with sinus thrombosis. MMP-2-1306C/T polymorphism is likely a potential risk factor for sinus thrombosis

2018 Journal of Thrombosis and Haemostasis

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