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KMID : 0911820230240020080
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Korean Journal of Headache
2023 Volume.24 No. 2 p.80 ~ p.83
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Unilateral Retro-orbital Headache Secondary to Septic Cavernous Sinus Thrombosis: A Case Report
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Kim Su-Min
Lee So-Rae
Sunwoo Jun-Sang
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Abstract
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Septic cavernous sinus thrombosis (SCST) is a rare but fatal central nervous system infectious disease affecting the cavernous sinuses. Here, we report a case of 51-year-old woman presenting with new-onset unilateral retro-orbital headache lasting for 3 weeks and subsequent ipsilateral abducens nerve palsy. Brain magnetic resonance imaging revealed enlargement of the cavernous sinus with dural enhancement and ring-enhancing abscess in the adjacent temporal lobe. Although blood and cerebrospinal fluid cultures were negative, the patient was successfully treated with empirical antibiotic therapy. Although SCST is a possible cause of painful ophthalmoplegia, it should be kept in mind that in the early stage it may present only with headache without ocular symptoms.
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KEYWORD
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Cavernous sinus thrombosis, Brain abscess, Headach
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