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. 1996 Jan;6(1):53–59. doi: 10.1055/s-2008-1058913

The Spectrum of Cavernous Sinus and Orbital Venous Thrombosis

A Case and a Review

Paul FS Lai, Michael D Cusimano
PMCID: PMC1656512  PMID: 17170953

Abstract

Orbital venous pathologies encompass a broad range of entities including tumors, shunts, congenital anomalies, aneurysms, and obstructive lesions. Patients may present with a variety of clinical findings which may include a combination of tumefaction, vascular engorgement, orbital pulsation, and exophthalmos, depending on the relationship between the lesion and the vascular system. Clinical findings may be unreliable in excluding serious underlying disorders, and so an extensive clinical and radiologic evaluation is necessary. This article presents a rare case of spontaneous aseptic cavernous sinus-superior ophthalmic vein thrombosis in a woman on hormone replacement therapy, and illustrates the multidisciplinary approach in diagnosis and management. The literature on issues surrounding this case is reviewed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ahmadi J., Keane J. R., Segall H. D., Zee C. S. CT observations pertinent to septic cavernous sinus thrombosis. AJNR Am J Neuroradiol. 1985 Sep-Oct;6(5):755–758. [PMC free article] [PubMed] [Google Scholar]
  2. Ali S. M., Ahmed S. H. Cavernous sinus thrombosis in children. J Trop Pediatr. 1992 Aug;38(4):194–195. doi: 10.1093/tropej/38.4.194. [DOI] [PubMed] [Google Scholar]
  3. Apantaku J. B., Solarin E. O. Septic cavernous sinus thrombosis and the neurological complications. East Afr Med J. 1978 Mar;55(3):109–114. [PubMed] [Google Scholar]
  4. Assefa D., Dalitz E., Handrick W., Lietz R., Braun W., Michalski H. Septic cavernous sinus thrombosis following infection of ethmoidal and maxillary sinuses: a case report. Int J Pediatr Otorhinolaryngol. 1994 Jun;29(3):249–255. doi: 10.1016/0165-5876(94)90171-6. [DOI] [PubMed] [Google Scholar]
  5. Barrow D. L., Spector R. H., Braun I. F., Landman J. A., Tindall S. C., Tindall G. T. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg. 1985 Feb;62(2):248–256. doi: 10.3171/jns.1985.62.2.0248. [DOI] [PubMed] [Google Scholar]
  6. Ben-Uri R., Palma L., Kaveh Z. Septic thrombosis of the cavernous sinus: diagnosis with the aid of computed tomography. Clin Radiol. 1989 Sep;40(5):520–522. doi: 10.1016/s0009-9260(89)80272-7. [DOI] [PubMed] [Google Scholar]
  7. Berge J., Louail C., Caillé J. M. Cavernous sinus thrombosis diagnostic approach. J Neuroradiol. 1994 Apr;21(2):101–117. [PubMed] [Google Scholar]
  8. Blatt J., Penchansky L., Horn M. Thrombocytosis as a presenting feature of acute lymphoblastic leukemia in childhood. Am J Hematol. 1989 May;31(1):46–49. doi: 10.1002/ajh.2830310109. [DOI] [PubMed] [Google Scholar]
  9. Boniuk M. The ocular manifestations of ophthalmic vein and aseptic cavernous sinus thrombosis. Trans Am Acad Ophthalmol Otolaryngol. 1972 Nov-Dec;76(6):1519–1534. [PubMed] [Google Scholar]
  10. Bonnar J. Coagulation effects of oral contraception. Am J Obstet Gynecol. 1987 Oct;157(4 Pt 2):1042–1048. doi: 10.1016/s0002-9378(87)80129-1. [DOI] [PubMed] [Google Scholar]
  11. Brismar G., Brismar J. Aseptic thrombosis of orbital veins and cavernous sinus. Clinical symptomatology. Acta Ophthalmol (Copenh) 1977 Feb;55(1):9–22. doi: 10.1111/j.1755-3768.1977.tb06091.x. [DOI] [PubMed] [Google Scholar]
  12. Brismar G., Brismar J. Thrombosis of the intraorbital veins and cavernous sinus. Acta Radiol Diagn (Stockh) 1977 Mar;18(2):145–153. doi: 10.1177/028418517701800201. [DOI] [PubMed] [Google Scholar]
  13. Brückmann H., Zeumer H., Meegen T., Kotlarek F. Orbital venous congestion in childhood. Diagnostic and therapeutical implications. Klin Padiatr. 1986 Nov-Dec;198(6):489–492. doi: 10.1055/s-2008-1033913. [DOI] [PubMed] [Google Scholar]
  14. Buchanan D. S., Brazinsky J. H. Dural sinus and cerebral venous thrombosis. Incidence in young women receiving oral contraceptives. Arch Neurol. 1970 May;22(5):440–444. doi: 10.1001/archneur.1970.00480230058006. [DOI] [PubMed] [Google Scholar]
  15. Bullock J. D., Goldbert S. H., Connelly P. J. Orbital varix thrombosis. Trans Am Ophthalmol Soc. 1989;87:463–486. [PMC free article] [PubMed] [Google Scholar]
  16. Casaubon J. N., Dion M. A., Larbrisseau A. Septic cavernous sinus thrombosis after rhinoplasty: case report. Plast Reconstr Surg. 1977 Jan;59(1):119–123. doi: 10.1097/00006534-197701000-00027. [DOI] [PubMed] [Google Scholar]
  17. Castelli J. B., Pallin J. L. Lethal rhinocerebral phycomycosis in a healthy adult: a case report and review of the literature. Otolaryngology. 1978 Sep-Oct;86(5):ORL–696-703. doi: 10.1177/019459987808600505. [DOI] [PubMed] [Google Scholar]
  18. Castillo M., Silverstein M., Hoffman J. C., Jr, Barrow D. Spontaneous thrombosis of a direct carotid cavernous sinus fistula: confirmation by Gd-DTPA-enhanced MR. AJNR Am J Neuroradiol. 1989 Sep-Oct;10(5 Suppl):S75–S76. [PMC free article] [PubMed] [Google Scholar]
  19. Clifford-Jones R. E., Ellis C. J., Stevens J. M., Turner A. Cavernous sinus thrombosis. J Neurol Neurosurg Psychiatry. 1982 Dec;45(12):1092–1097. doi: 10.1136/jnnp.45.12.1092. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Coutteel C., Leys A., Fossion E., Missotten L. Bilateral blindness in cavernous sinus thrombosis. Int Ophthalmol. 1991 May;15(3):163–171. doi: 10.1007/BF00153921. [DOI] [PubMed] [Google Scholar]
  21. DiNubile M. J. Septic thrombosis of the cavernous sinuses. Arch Neurol. 1988 May;45(5):567–572. doi: 10.1001/archneur.1988.00520290103022. [DOI] [PubMed] [Google Scholar]
  22. Domenici R., Stefani G., Fiorini V., Giorgi F. Tromboflebite del seno cavernoso e sindrome da inappropriata secrezione di ADH. Pediatr Med Chir. 1985 Nov-Dec;7(6):841–842. [PubMed] [Google Scholar]
  23. Doyle K. J., Jackler R. K. Otogenic cavernous sinus thrombosis. Otolaryngol Head Neck Surg. 1991 Jun;104(6):873–877. doi: 10.1177/019459989110400619. [DOI] [PubMed] [Google Scholar]
  24. Dyken M. E., Biller J., Yuh W. T., Fincham R., Moore S. A., Justin E. Carotid-cavernous sinus thrombosis caused by Aspergillus fumigatus: magnetic resonance imaging with pathologic correlation--a case report. Angiology. 1990 Aug;41(8):652–657. doi: 10.1177/000331979004100810. [DOI] [PubMed] [Google Scholar]
  25. Eisenberg L., Wood T., Boles R. Mucormycosis. Laryngoscope. 1977 Mar;87(3):347–356. doi: 10.1288/00005537-197703000-00007. [DOI] [PubMed] [Google Scholar]
  26. Ellie E., Houang B., Louail C., Legrain-Lifermann V., Laurent F., Drouillard J., Julien J. CT and high-field MRI in septic thrombosis of the cavernous sinuses. Neuroradiology. 1992;34(1):22–24. doi: 10.1007/BF00588427. [DOI] [PubMed] [Google Scholar]
  27. Endo S., Ohtsuji T., Fukuda O., Oka N., Takaku A. A case of septic cavernous sinus thrombosis with sequential dynamic angiographic changes. A case report. Surg Neurol. 1989 Jul;32(1):59–63. doi: 10.1016/0090-3019(89)90037-2. [DOI] [PubMed] [Google Scholar]
  28. Erickson S. J., Hendrix L. E., Massaro B. M., Harris G. J., Lewandowski M. F., Foley W. D., Lawson T. L. Color Doppler flow imaging of the normal and abnormal orbit. Radiology. 1989 Nov;173(2):511–516. doi: 10.1148/radiology.173.2.2678264. [DOI] [PubMed] [Google Scholar]
  29. Estrem S. A., Tully R., Davis W. E. Rhinocerebral mucormycosis: computed tomographic imaging of cavernous sinus thrombosis. Ann Otol Rhinol Laryngol. 1990 Feb;99(2 Pt 1):160–161. doi: 10.1177/000348949009900216. [DOI] [PubMed] [Google Scholar]
  30. Feinfeld D. A., Al-Achkar G., Lipner H. I., Chirayil S. J., Hakim J., Avram M. M. Syndrome of inappropriate secretion of antidiuretic hormone: association with cavernous sinus thrombosis. JAMA. 1978 Sep 1;240(9):856–857. [PubMed] [Google Scholar]
  31. Fiandaca M. S., Spector R. H., Hartmann T. M., Braun I. F. Unilateral septic cavernous sinus thrombosis. A case report with digital orbital venographic documentation. J Clin Neuroophthalmol. 1986 Mar;6(1):35–38. [PubMed] [Google Scholar]
  32. Fielding A. F., Cross S., Matise J. L., Mohnac A. M. Cavernous sinus thrombosis: report of case. J Am Dent Assoc. 1983 Mar;106(3):342–345. doi: 10.14219/jada.archive.1983.0052. [DOI] [PubMed] [Google Scholar]
  33. Flaharty P. M., Phillips W., Sergott R. C., Stefanyszyn M., Bosley T., Savino P. J. Color Doppler imaging of superior ophthalmic vein thrombosis. Arch Ophthalmol. 1991 Apr;109(4):582–583. doi: 10.1001/archopht.1991.01080040150047. [DOI] [PubMed] [Google Scholar]
  34. Friberg T. R., Sogg R. L. Ischemic optic neuropathy in cavernous sinus thrombosis. Arch Ophthalmol. 1978 Mar;96(3):453–456. doi: 10.1001/archopht.1978.03910050229008. [DOI] [PubMed] [Google Scholar]
  35. GODTFREDSEN E. STUDIES ON THE CAVERNOUS SINUS SYNDROME. 1. INCIDENCE, AETIOLOGY AND DIFFERENTIAL DIAGNOSIS OF INFRANUCLEAR OPHTHALMOPLEGIAS. Acta Neurol Scand. 1964;40:69–75. doi: 10.1111/j.1600-0404.1964.tb04267.x. [DOI] [PubMed] [Google Scholar]
  36. Geggel H. S., Isenberg S. J. Cavernous sinus thrombosis as a cause of unilateral blindness. Ann Ophthalmol. 1982 Jun;14(6):569–574. [PubMed] [Google Scholar]
  37. Goodwin W. J., Jr Orbital complications of ethmoiditis. Otolaryngol Clin North Am. 1985 Feb;18(1):139–147. [PubMed] [Google Scholar]
  38. Goteiner D., Sonis S. T., Fasciano R. Cavernous sinus thrombosis and brain abscess initiated and maintained by periodontally involved teeth. J Oral Med. 1982 Jul-Sep;37(3):80–83. [PubMed] [Google Scholar]
  39. Gupta A., Jalali S., Bansal R. K., Grewal S. P. Anterior ischemic optic neuropathy and branch retinal artery occlusion in cavernous sinus thrombosis. J Clin Neuroophthalmol. 1990 Sep;10(3):193–196. [PubMed] [Google Scholar]
  40. Harbour R. C., Trobe J. D., Ballinger W. E. Septic cavernous sinus thrombosis associated with gingivitis and parapharyngeal abscess. Arch Ophthalmol. 1984 Jan;102(1):94–97. doi: 10.1001/archopht.1984.01040030078040. [DOI] [PubMed] [Google Scholar]
  41. Haynes R. E., Cramblett H. G. Acute ethmoiditis. Its relationship to orbital cellulitis. Am J Dis Child. 1967 Sep;114(3):261–267. doi: 10.1001/archpedi.1967.02090240075004. [DOI] [PubMed] [Google Scholar]
  42. Hladky J. P., Leys D., Vantyghem M. C., Furby A., Leclerc X., Dupard T., Lefebvre J. Early hypopituitarism following cavernous sinus thrombosis: total recovery within 1 year. Clin Neurol Neurosurg. 1991;93(3):249–252. doi: 10.1016/s0303-8467(05)80014-9. [DOI] [PubMed] [Google Scholar]
  43. Hodges E., Tabbara K. F. Orbital cellulitis: review of 23 cases from Saudi Arabia. Br J Ophthalmol. 1989 Mar;73(3):205–208. doi: 10.1136/bjo.73.3.205. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Huch K. M., Elam M. B., Chesney C. M. Oral contraceptive steroid induced platelet coagulant hyperactivity: dissociation of in vivo and in vitro effects. Thromb Res. 1987 Oct 1;48(1):41–50. doi: 10.1016/0049-3848(87)90344-6. [DOI] [PubMed] [Google Scholar]
  45. Kimbrough B. O., Young A. B., Modica L. A. Orbital cellulitis and cavernous sinus thrombosis after cataract extraction and lens implantation. Ann Ophthalmol. 1992 Aug;24(8):313–317. [PubMed] [Google Scholar]
  46. Kinnaird P. M., Jr, Acker J. D., Snead O. C. Cavernous sinus thrombosis with vascular steal syndrome. J Pediatr. 1979 Mar;94(3):410–413. doi: 10.1016/s0022-3476(79)80584-3. [DOI] [PubMed] [Google Scholar]
  47. Kronschnabel E. F. Orbital apex syndrome due to sinus infection. Laryngoscope. 1974 Mar;84(3):353–371. doi: 10.1288/00005537-197403000-00001. [DOI] [PubMed] [Google Scholar]
  48. LAKKE J. P. Superior orbital fissure syndrome. Report of a case caused by local pachymeningitis. Arch Neurol. 1962 Oct;7:289–300. doi: 10.1001/archneur.1962.04210040041004. [DOI] [PubMed] [Google Scholar]
  49. Levine S. R., Twyman R. E., Gilman S. The role of anticoagulation in cavernous sinus thrombosis. Neurology. 1988 Apr;38(4):517–522. doi: 10.1212/wnl.38.4.517. [DOI] [PubMed] [Google Scholar]
  50. Lew D., Southwick F. S., Montgomery W. W., Weber A. L., Baker A. S. Sphenoid sinusitis. A review of 30 cases. N Engl J Med. 1983 Nov 10;309(19):1149–1154. doi: 10.1056/NEJM198311103091904. [DOI] [PubMed] [Google Scholar]
  51. Macdonald R. L., Findlay J. M., Tator C. H. Sphenoethmoidal sinusitis complicated by cavernous sinus thrombosis and pontocerebellar infarction. Can J Neurol Sci. 1988 Aug;15(3):310–313. doi: 10.1017/s0317167100027803. [DOI] [PubMed] [Google Scholar]
  52. Macdonell R. A., Donnan G. A., Kalnins R. M., Richards M. J., Bladin P. F. Otocerebral mucormycosis--a case report. Clin Exp Neurol. 1987;23:225–232. [PubMed] [Google Scholar]
  53. Mackintosh H. T. Septic cavernous sinus thrombosis--a case report. Aust N Z J Ophthalmol. 1991 Aug;19(3):175–182. doi: 10.1111/j.1442-9071.1991.tb00656.x. [DOI] [PubMed] [Google Scholar]
  54. Mahapatra A. K. Brain abscess--an unusual complication of cavernous sinus thrombosis. A case report. Clin Neurol Neurosurg. 1988;90(3):241–243. doi: 10.1016/0303-8467(88)90029-7. [DOI] [PubMed] [Google Scholar]
  55. Marshall D. R., Slattery P. G. Intracranial complications of rhinoplasty. Br J Plast Surg. 1983 Jul;36(3):342–344. doi: 10.1016/s0007-1226(83)90057-7. [DOI] [PubMed] [Google Scholar]
  56. McDevitt G. R., Jr, Brantley M. J., Cawthon M. A. Rhinocerebral mucormycosis: a case report with magnetic resonance imaging findings. Clin Imaging. 1989 Dec;13(4):317–320. doi: 10.1016/0899-7071(89)90065-x. [DOI] [PubMed] [Google Scholar]
  57. McLean B. N. Dural sinus thrombosis. Br J Hosp Med. 1991 Apr;45(4):226–231. [PubMed] [Google Scholar]
  58. Meade T. W. Risks and mechanisms of cardiovascular events in users of oral contraceptives. Am J Obstet Gynecol. 1988 Jun;158(6 Pt 2):1646–1652. doi: 10.1016/0002-9378(88)90203-7. [DOI] [PubMed] [Google Scholar]
  59. Melamed E., Rachmilewitz E. A., Reches A., Lavy S. Aseptic cavernous sinus thrombosis after internal carotid arterial occlusion in polycythaemia vera. J Neurol Neurosurg Psychiatry. 1976 Apr;39(4):320–324. doi: 10.1136/jnnp.39.4.320. [DOI] [PMC free article] [PubMed] [Google Scholar]
  60. Nagpal R. D. Dural sinus and cerebral venous thrombosis. Neurosurg Rev. 1983;6(3):155–160. doi: 10.1007/BF01742767. [DOI] [PubMed] [Google Scholar]
  61. Ogundiya D. A., Keith D. A., Mirowski J. Cavernous sinus thrombosis and blindness as complications of an odontogenic infection: report of a case and review of literature. J Oral Maxillofac Surg. 1989 Dec;47(12):1317–1321. doi: 10.1016/0278-2391(89)90733-7. [DOI] [PubMed] [Google Scholar]
  62. Oliven A., Harel D., Rosenfeld T., Spindel A., Gidron E. Hypopituitarism after aseptic cavernous sinus thrombosis. Neurology. 1980 Aug;30(8):897–899. doi: 10.1212/wnl.30.8.897. [DOI] [PubMed] [Google Scholar]
  63. Palestro C. J., Malat J., Gladstone A. G., Richman A. H. Gallium scintigraphy in a case of septic cavernous sinus thrombosis. Clin Nucl Med. 1986 Sep;11(9):636–639. doi: 10.1097/00003072-198609000-00010. [DOI] [PubMed] [Google Scholar]
  64. Palmersheim L. A., Hamilton M. K. Fatal cavernous sinus thrombosis secondary to third molar removal. J Oral Maxillofac Surg. 1982 Jun;40(6):371–376. doi: 10.1016/0278-2391(82)90257-9. [DOI] [PubMed] [Google Scholar]
  65. Piazza P., Comoretto M., Lutman M. La tomografia computerizzata nelle infiammazioni acute dell'orbita. Radiol Med. 1994 Mar;87(3):235–239. [PubMed] [Google Scholar]
  66. Pillai P., Ram J., Khurana G. S., Jain I. S. Recurrent cavernous sinus thrombosis with bilateral orbital cellulitis (a case report). Indian J Ophthalmol. 1985 Mar-Apr;33(2):125–127. [PubMed] [Google Scholar]
  67. Rout D., Sharma A., Mohan P. K., Rao V. R. Bacterial aneurysms of the intracavernous carotid artery. J Neurosurg. 1984 Jun;60(6):1236–1242. doi: 10.3171/jns.1984.60.6.1236. [DOI] [PubMed] [Google Scholar]
  68. Saah D., Schwartz A. J. Diagnosis of cavernous sinus thrombosis by magnetic resonance imaging using flow parameters. Ann Otol Rhinol Laryngol. 1994 Jun;103(6):487–489. doi: 10.1177/000348949410300611. [DOI] [PubMed] [Google Scholar]
  69. Sarvesvaran E. R. Fatal penetrating orbital injuries. Med Sci Law. 1991 Jul;31(3):261–263. doi: 10.1177/002580249103100312. [DOI] [PubMed] [Google Scholar]
  70. Savino P. J., Grossman R. I., Schatz N. J., Sergott R. C., Bosley T. M. High-field magnetic resonance imaging in the diagnosis of cavernous sinus thrombosis. Arch Neurol. 1986 Oct;43(10):1081–1082. doi: 10.1001/archneur.1986.00520100085020. [DOI] [PubMed] [Google Scholar]
  71. Schell C. L., Rathe R. J. Superior sagittal sinus thrombosis. Still a killer. West J Med. 1988 Sep;149(3):304–307. [PMC free article] [PubMed] [Google Scholar]
  72. Scrimgeour E. M., Alemaena O. K., Salomon B. Cavernous sinus thrombosis in two Papua New Guineans. Trop Geogr Med. 1985 Jun;37(2):194–197. [PubMed] [Google Scholar]
  73. Sekhar L. N., Dujovny M., Rao G. R. Carotid-cavernous sinus thrombosis caused by Aspergillus fumigatus. Case report. J Neurosurg. 1980 Jan;52(1):120–125. doi: 10.3171/jns.1980.52.1.0120. [DOI] [PubMed] [Google Scholar]
  74. Silver H. S., Morris L. R. Hypopituitarism secondary to cavernous sinus thrombosis. South Med J. 1983 May;76(5):642–646. doi: 10.1097/00007611-198305000-00027. [DOI] [PubMed] [Google Scholar]
  75. Smith J. L., Stevens D. A. Survival in cerebro-rhino-orbital zygomycosis and cavernous sinus thrombosis with combined therapy. South Med J. 1986 Apr;79(4):501–504. doi: 10.1097/00007611-198604000-00028. [DOI] [PubMed] [Google Scholar]
  76. Sofferman R. A. Cavernous sinus thrombophlebitis secondary to sphenoid sinusitis. Laryngoscope. 1983 Jun;93(6):797–800. doi: 10.1288/00005537-198306000-00017. [DOI] [PubMed] [Google Scholar]
  77. Southwick F. S., Richardson E. P., Jr, Swartz M. N. Septic thrombosis of the dural venous sinuses. Medicine (Baltimore) 1986 Mar;65(2):82–106. doi: 10.1097/00005792-198603000-00002. [DOI] [PubMed] [Google Scholar]
  78. Spires J. R., Smith R. J. Bacterial infections of the orbital and periorbital soft-tissues in children. Laryngoscope. 1986 Jul;96(7):763–767. doi: 10.1288/00005537-198607000-00012. [DOI] [PubMed] [Google Scholar]
  79. Stern N. S., Shensa D. R., Trop R. C. Cavernous sinus thrombosis: a complication of maxillary surgery. J Oral Surg. 1981 Jun;39(6):436–438. [PubMed] [Google Scholar]
  80. Stevens J., Robinson K. Chronic cavernous sinus thrombosis: discussion and report of case. J Oral Surg. 1977 Feb;35(2):136–139. [PubMed] [Google Scholar]
  81. Sud R. N., Greval R. S., Sud M., Goyal S. C. Cavernous sinus thrombosis with Jacod's triad. Indian J Ophthalmol. 1990 Oct-Dec;38(4):180–181. [PubMed] [Google Scholar]
  82. Suzuki Y., Kase M., Yokoi M., Arikado T., Miyasaka K. Development of central retinal vein occlusion in dural carotid-cavernous fistula. Ophthalmologica. 1989;199(1):28–33. doi: 10.1159/000310010. [DOI] [PubMed] [Google Scholar]
  83. Taicher S., Garfunkel A., Feinsod M. Reversible cavernous sinus involvement due to minor dental infection. Report of a case. Oral Surg Oral Med Oral Pathol. 1978 Jul;46(1):7–9. doi: 10.1016/0030-4220(78)90423-1. [DOI] [PubMed] [Google Scholar]
  84. Taniguchi R. M., Goree J. A., Odom G. L. Spontaneous carotid-cavernous shunts presenting diagnostic problems. J Neurosurg. 1971 Oct;35(4):384–391. doi: 10.3171/jns.1971.35.4.0384. [DOI] [PubMed] [Google Scholar]
  85. Thatai D., Chandy L., Dhar K. L. Septic cavernous sinus thrombophlebitis: a review of 35 cases. J Indian Med Assoc. 1992 Nov;90(11):290–292. [PubMed] [Google Scholar]
  86. Tomita T., McLone D. G., Naidich T. P. Mycotic aneurysm of the intracavernous portion of the carotid artery in childhood. Case report. J Neurosurg. 1981 May;54(5):681–684. doi: 10.3171/jns.1981.54.5.0681. [DOI] [PubMed] [Google Scholar]
  87. Tveterås K., Kristensen S., Dommerby H. Septic cavernous and lateral sinus thrombosis: modern diagnostic and therapeutic principles. J Laryngol Otol. 1988 Oct;102(10):877–882. doi: 10.1017/s0022215100106711. [DOI] [PubMed] [Google Scholar]
  88. Van Johnson E., Kline L. B., Julian B. A., Garcia J. H. Bilateral cavernous sinus thrombosis due to mucormycosis. Arch Ophthalmol. 1988 Aug;106(8):1089–1092. doi: 10.1001/archopht.1988.01060140245034. [DOI] [PubMed] [Google Scholar]
  89. Viñuela F., Fox A. J., Debrun G. M., Peerless S. J., Drake C. G. Spontaneous carotid-cavernous fistulas: clinical, radiological, and therapeutic considerations. Experience with 20 cases. J Neurosurg. 1984 May;60(5):976–984. doi: 10.3171/jns.1984.60.5.0976. [DOI] [PubMed] [Google Scholar]
  90. Yousem D. M., Galetta S. L., Gusnard D. A., Goldberg H. I. MR findings in rhinocerebral mucormycosis. J Comput Assist Tomogr. 1989 Sep-Oct;13(5):878–882. doi: 10.1097/00004728-198909000-00023. [DOI] [PubMed] [Google Scholar]
  91. Yun M. W., Hwang C. F., Lui C. C. Cavernous sinus thrombosis following odontogenic and cervicofacial infection. Eur Arch Otorhinolaryngol. 1991;248(7):422–424. doi: 10.1007/BF01463569. [DOI] [PubMed] [Google Scholar]
  92. Zahller M., Spector R. H., Skoglund R. R., Digby D., Nyhan W. L. Cavernous sinus thrombosis. West J Med. 1980 Jul;133(1):44–48. [PMC free article] [PubMed] [Google Scholar]
  93. de Slegte R. G., Kaiser M. C., van der Baan S., Smit L. Computed tomographic diagnosis of septic sinus thrombosis and their complications. Neuroradiology. 1988;30(2):160–165. doi: 10.1007/BF00395618. [DOI] [PubMed] [Google Scholar]
  94. du Plessis J. J., van Rensburg M. J. Bacterial aneurysm of the intracavernous carotid artery secondary to suppurative otitis media. A case report. S Afr Med J. 1988 Feb 6;73(3):185–186. [PubMed] [Google Scholar]

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