International Journal of Research and Review

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Case Report

Year: 2016 | Month: July | Volume: 3 | Issue: 7 | Pages: 61-64

Valveless Veins of Face is Bane or Boon - A Case Report of Cavernous Sinus Thrombosis

Chaithra Rao B R1, Sunkeswari Sreepadma2, Sandeep Patil3

1Assistant Professor, Department of Anatomy, Sapthagiri Institute of Medical Sciences and Research Centre, No 15, Chikkasandra, Hesarghatta Main Road, Bangalore- 560090, Karnataka.
2Assistant Professor, Department of Anatomy, SDM College of Medical Sciences & Hospital, Manjushree Nagara, Sattur, Dharwad- 580009, Karnataka.
3Senior Consultant, Department of Ophthalmology, Sakra World Hospital, SY No.52/2 & 52/3, Devarabeesanahalli, Opposite Intel, Varthur Hobli, Bangalore- 560103, Karnataka.

Corresponding Author: Chaithra Rao B R


Background- Cavernous sinus thrombosis occurs as a secondary threatening condition to spread from local or distant foci of infection.
Aims and Objectives- To emphasize the importance of valveless communications of cavernous sinus in dissemination of infection leading to thrombosis of the sinus.
Materials and Methods- A 25yr old female patient presented with complaints of drooping of left eyelid associated with headache since fifteen days.
Observations and Results- Patient had complete ptosis and restriction of extraocular movements except abduction and fixed dilated pupil non-reactive to light on the left side. CT scan was suggestive of cavernous sinus thrombosis.
Conclusion- Unusual features like initial sparing of Abducent nerve, absence of proptosis and chemosis was seen in this case. These features can lead to delayed diagnosis and associated complications. The need for early diagnosis and treatment of this potentially lethal condition is emphasized.

Key Words: Cavernous sinus, cavernous venous thrombosis, ptosis, ophthalmoplegia.

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