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Images of the month: Cavernous sinus venous thrombosis secondary to Streptococcus milleri maxillary sinusitis: An unusual cause of diplopia and headache.

Anton-Vazquez, V; Dru, R; Rich, P; Arias, M; Macallan, D (2020) Images of the month: Cavernous sinus venous thrombosis secondary to Streptococcus milleri maxillary sinusitis: An unusual cause of diplopia and headache. Clin Med (Lond), 20 (6). e271-e272. ISSN 1473-4893 https://doi.org/10.7861/clinmed.2020-0689
SGUL Authors: Macallan, Derek Clive

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Abstract

Cavernous sinus venous thrombosis is an uncommon condition associated with high mortality rates if not recognised early. Symptoms include headache, visual loss, ophthalmoplegia, altered consciousness, proptosis and periorbital oedema. High-quality imaging is critical in early diagnosis and successful management. Primary infection (such as sinusitis) and possible complications (including meningitis) should be considered as potential aetiologies of cavernous sinus venous thrombosis, especially in those with a preceding history of localised infection. We present a case of a 50-year-old man with a bilateral cavernous sinus venous thrombosis with associated meningitis caused by Streptococcus milleri, secondary to maxillary sinusitis and otomastoiditis. He was successfully treated with antimicrobial treatment, surgical drainage and anticoagulation.

Item Type: Article
Additional Information: © Royal College of Physicians 2020. All rights reserved.
Keywords: Cavernous sinus venous thrombosis, Streptococcus milleri, diplopia, headache, sinusitis, 1103 Clinical Sciences, General Clinical Medicine
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Clin Med (Lond)
ISSN: 1473-4893
Language: eng
Dates:
DateEvent
November 2020Published
16 November 2020Published Online
20 September 2020Accepted
Publisher License: Publisher's own licence
PubMed ID: 33199337
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112645
Publisher's version: https://doi.org/10.7861/clinmed.2020-0689

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