Venous Infarction Secondary to Septic Cavernous Sinus Thrombosis

A 65yearold woman with poorly controlled diabetes presented bilateral miosis, bilateral abducens nerve palsy, and left hemiparesis. On MRI, cavernous sinus thrombosis, subdural empyema and hemorrhagic infarction in the frontotemporal lobe were detected. Cerebral angiogram revealed filling defect in...

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Bibliographic Details
Published inInternal Medicine Vol. 45; no. 1; pp. 25 - 27
Main Authors Kamouchi, Masahiro, Wakugawa, Yoko, Okada, Yasushi, Kishikawa, Kazuhiro, Matsuo, Ryu, Toyoda, Kazunori, Yasumori, Kotaro, Inoue, Tooru, Ibayashi, Setsuro, Iida, Mitsuo
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.01.2006
Subjects
Aged
brain infarction
Brain Infarction - etiology
cavernous sinus thrombosis
Cavernous Sinus Thrombosis - complications
Cerebral Veins
Fatal Outcome
Female
Humans
Necrosis - complications
Pituitary Gland - pathology
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Summary:A 65yearold woman with poorly controlled diabetes presented bilateral miosis, bilateral abducens nerve palsy, and left hemiparesis. On MRI, cavernous sinus thrombosis, subdural empyema and hemorrhagic infarction in the frontotemporal lobe were detected. Cerebral angiogram revealed filling defect in the cavernous sinus with venous congestion but no involvement of internal carotid artery. Postmortem examination demonstrated hemorrhagic infarction in the right frontotemporal lobe as well as hemorrhagic necrosis of the pituitary gland. It should be noted that venous congestion due to cavernous sinus thrombosis may cause these complications.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.45.1430