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KMID : 1103720150720060418
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Journal of the Korean Society of Radiology
2015 Volume.72 No. 6 p.418 ~ p.422
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Fulminant Superior Ophthalmic Vein and Cavernous Sinus Thrombophlebitis with Intracranial Extensions: Case Reports
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Hwang Ji-Sun
Hong Hyun-Sook
Park Ji-Sang
Lee A-Leum
Choo Eun-Ju
Chang Kee-Hyun
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Abstract
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Cavernous sinus thrombophlebitis (CST) is a rare and life-threatening disease without prompt diagnosis and treatment. Two cases of fulminant superior ophthalmic vein (SOV) and CST caused by maxillary periodontitis and sphenoid sinusitis are described. A 65-year-old woman presented with right proptosis, headache, and fever. A 74-year-old woman presented with left periorbital swelling. In both patients, MRI with gadolinium showed expansion of the bilateral cavernous sinus and diffuse dilatation of the SOV with non-enhancement of central thrombus, which indicated CST. The condition was complicated by brain abscess, meningitis, and ischemic stroke. These conditions were improved by antibiotic treatment, but one patient underwent exenteration of the orbit due to orbital rupture during hospitalization.
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KEYWORD
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Superior Ophthalmic Vein, Cavernous Sinus, Thrombosis, Thrombophlebitis, Paranasal Sinus Diseases
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