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KMID : 0361020190620120731
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Korean Journal of Otolaryngology - Head and Neck Surgery
2019 Volume.62 No. 12 p.731 ~ p.734
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Oculomotor and Abducens Nerve Palsy Complicated by Cavernous Sinus Thrombophlebitis Resulting from Acute Sinusitis
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Kang Ju-Yong
Kim Jung-Jun
Choi Ik-Jun
Lee Myung-Chul
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Abstract
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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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KEYWORD
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Abducens nerve, Cavernous sinus, Oculomotor nerve, Sinusitis, Thrombophlebitis
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