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Bilateral cavernous sinus thrombosis complicating acute unilateral pansinusitis in a 15-year-old boy
  1. Timothy Charles Davies1,
  2. Anton Alatsatianos1,
  3. Magdalena Nowak2 and
  4. Lyndsay Fraser1
  1. 1Otolaryngology, University Hospital Crosshouse, Kilmarnock, UK
  2. 2Radiology, University Hospital Crosshouse, Kilmarnock, UK
  1. Correspondence to Dr Timothy Charles Davies; timothy.davies{at}nhs.net

Abstract

Cavernous sinus thrombosis (CST) is a rare and potentially fatal complication of acute sinusitis. Timely diagnosis and management is, therefore, essential in preventing death and neurological disability. Here, we describe the case of a paediatric patient with bilateral CST secondary to acute unilateral pansinusitis that presented with rapidly progressing bilateral periorbital oedema. Initial imaging was negative. This case serves to emphasise the importance of maintaining a high index of suspicion when managing paediatric patients with suspected CST with persistent symptoms. Expeditious investigation and management of our patient in this case resulted in a positive outcome, with resolution of symptoms and no residual neurological deficit.

  • venous thromboembolism
  • ear
  • nose and throat/otolaryngology
  • radiology

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Footnotes

  • Contributors TCD has been responsible for formulating the manuscript and figures. AA has been responsible for patient care, and formulating the manuscript and figures. MN has been responsible for patient care, and formulating the manuscript and figures. LF has been responsible for patient care, and formulating the manuscript and figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.