Man develops acute blurry vision, diplopia

Other causes such as lytic bone lesions near the sphenoid or sella turcica, primary or metastatic tumors, sarcoidosis and Tolosa-Hunt syndrome were lower on the differential due to the acute nature and septic presentation of our patient. [...]in the setting of progressive sinus infection in a septic...

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Bibliographic Details
Published inOcular Surgery News Vol. 42; no. 3; pp. 30 - 28
Main Authors Ernst, Julia, Klein-Mascia, Kendra
Format Trade Publication Article
LanguageEnglish
Published Thorofare SLACK INCORPORATED 10.02.2024
Subjects
Abscesses
Blood clots
Diplopia
Edema
Infections
Inflammation
Motility
Ophthalmology
Otolaryngology
Patients
Sinuses
Surgery
Thrombosis
Trauma
Veins & arteries
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Summary:Other causes such as lytic bone lesions near the sphenoid or sella turcica, primary or metastatic tumors, sarcoidosis and Tolosa-Hunt syndrome were lower on the differential due to the acute nature and septic presentation of our patient. [...]in the setting of progressive sinus infection in a septic patient and grave prognosis if timely treatment is not instituted, septic cavernous sinus thrombosis (SCST) was highest on the differential. [...]the most common signs of CST stem from obstruction of venous drainage of the orbit. [...]often imaging findings can be subtle and limited to dilation of the superior ophthalmic vein, intraorbital venous congestion, pro-ptosis and increased dural enhancement. [...]characteristics of thrombus imaging may vary depending on its stage. [...]management is mostly based on expert opinion. Furthermore, it is not without long-term sequelae including vision decline or loss, cranial nerve palsies, pituitary dysfunction, seizures and other neurological deficits in up to 50% to 75% of patients. [...]prompt diagnosis and treatment are crucial.
ISSN:8750-3085