RT Journal Article
SR Electronic
T1 Sphenoid sinusitis: a rare cause of ischaemic stroke
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e242943
DO 10.1136/bcr-2021-242943
VO 14
IS 10
A1 Young, Kenneth Stuart
A1 Kiam, Jian Shen
A1 Metcalf, Kneale
A1 Nassif, Ramez
YR 2021
UL http://casereports.bmj.com/content/14/10/e242943.abstract
AB We present the case of a 61-year-old woman who presented to the accident and emergency department with an ischaemic stroke, on a background of receiving intravenous and oral antibiotics to treat chronic left sphenoid sinusitis. Initially presenting with right-sided weakness and aphasia, a diagnosis of acute ischaemic stroke was made. Antibiotics had been commenced 1 month prior to the ischaemic stroke. Imaging at that time showed changes in keeping with chronic sphenoid sinusitis along with a small dehiscence in the lateral wall of the left sphenoid sinus and thrombosis of the left superior ophthalmic vein. During that admission blood cultures grew Streptococcus constellatus, a member of the Streptococcus milleri group. We discuss the unusual aetiology of this stroke, the emerging evidence associating chronic rhinosinusitis with stroke and the complex multidisciplinary approach required for management in this case.