급성 부비동염 후 발생한 해면정맥동 혈전염에 합병된 동안과 외전 신경마비
Oculomotor and Abducens Nerve Palsy Complicated by Cavernous Sinus Thrombophlebitis Resulting from Acute Sinusitis
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초록
Cavernous sinus thrombophlebitis is a rare complication of paranasal sinusitis. The diseasecan result in a fatal outcome if not treated with proper antibiotics or surgical intervention. Recently,we experienced a case, in which a 58-year-old female presented with oculomotor andabducens nerve palsy resulting from the cavernous sinus thrombophlebitis complicated by paranasalsinusitis. CT and magnetic resonance imaging with contrast enhancement showed rightunilateral pansinusitis, left maxillary, ethmoid and sphenoid sinusitis and bilateral cavernoussinus thrombophlebitis. These conditions were resolved by endoscopic sinus surgery, administrationof broad spectrum antibiotics and steroid.
Abstract
Cavernous sinus thrombophlebitis is a rare complication of paranasal sinusitis. The diseasecan result in a fatal outcome if not treated with proper antibiotics or surgical intervention. Recently,we experienced a case, in which a 58-year-old female presented with oculomotor andabducens nerve palsy resulting from the cavernous sinus thrombophlebitis complicated by paranasalsinusitis. CT and magnetic resonance imaging with contrast enhancement showed rightunilateral pansinusitis, left maxillary, ethmoid and sphenoid sinusitis and bilateral cavernoussinus thrombophlebitis. These conditions were resolved by endoscopic sinus surgery, administrationof broad spectrum antibiotics and steroid.
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