Korean J Otolaryngol-Head Neck Surg.  2002 Jan;45(1):82-85.

A Case of Cavernous Sinus Thrombophlebitis and Abducence Nerve Palsy Secondary to Petrositis

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. swyeo@wonnms.wonkwang.ac.kr

Abstract

Septic inflammation and thrombosis of the cavernous sinus was extremely fatal in the preantibiotic era. After the introduction of antibiotics, the incidence of septic cavernous thrombophlebitis has diminished significantly. It is, however, still a serious disease accompanied by a high morbidity and mortality rate. Therefore, a high index of suspicion and aggressive initiation of treatment is of the utmost importance for the prognosis. A case of cavernous sinus thrombophlebitis and abducence nerve palsy which takes place secondary to petrositis was diagnosed by magnetic resonance imaging (MRI), and is presented here. The resolution of septic thrombus and complete recovery of sixth (abducens) nerve palsy was observed with treatment with antibiotics and steroids accompanied by tympanotomy tube placement.

Keyword

Cavernous sinus thrombophlebitis; Petrositis; Conservative treatment

MeSH Terms

Anti-Bacterial Agents
Cavernous Sinus Thrombosis*
Cavernous Sinus*
Incidence
Inflammation
Magnetic Resonance Imaging
Mortality
Paralysis*
Petrositis*
Prognosis
Steroids
Thrombophlebitis
Thrombosis
Anti-Bacterial Agents
Steroids
Full Text Links
  • KJORL-HN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error