Database : MEDLINE
Search on : cavernous and sinus and thrombosis [Words]
References found : 1087 [refine]
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[PMID]: 29260788
[Au] Autor:Berest IE; Mironets SN
[Ad] Address:Saint Luke Lugansk State Medical University, Lugansk, Lugansk People's Republic, 91045.
[Ti] Title:Septicheskii tromboz kavernoznogo sinusa. [Septic thrombus of the cavernous sinus].
[So] Source:Vestn Otorinolaringol;82(6):72-76, 2017.
[Is] ISSN:0042-4668
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:The present review was designed to represent modern views of the problem of etiopathogenesis, clinical features, diagnostics, and treatment of septic thrombus of the cavernous sinus with special reference to the currently available methods for the detection and management of this condition.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Process
[do] DOI:10.17116/otorino201782672-76

  2 / 1087 MEDLINE  
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[PMID]: 29298507
[Au] Autor:Gavriel H; Jabarin B; Israel O; Eviatar E
[Ad] Address:1 Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
[Ti] Title:Conservative Management for Subperiosteal Orbital Abscess in Adults: A 20-Year Experience.
[So] Source:Ann Otol Rhinol Laryngol;127(3):162-166, 2018 Mar.
[Is] ISSN:1943-572X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: Orbital complications (OC) secondary to acute rhinosinusitis (ARS) in adults are less common than in children, with assumed worse outcome. MATERIALS AND METHODS: Adults with OC secondary to ARS between 1994 and 2014 were reviewed retrospectively. Parameters recorded included age, gender, clinical symptoms and signs, computed tomography (CT) scan findings, duration of hospitalization, treatment before and during admission, cultures, and outcome. RESULTS: Thirty-seven adults with a mean age of 34.6 years, 27 males and 10 females, were diagnosed with OC, 19 (51.3%) with subperiosteal orbital abscess (SPOA), and none with orbital abscess/cellulitis or cavernous sinus thrombosis. Twelve patients with SPOA were managed conservatively with Amoxicillin-Clavulanate in most cases, and only 7 (36.8%) underwent surgery. A CT scan was performed in 27 cases revealing rhinosinusitis in all patients, including frontal involvement in 19 (51.3%) patients and sphenoid sinus in 16 (43.2%). CONCLUSIONS: A shift toward conservative treatment in cases of SPOA has long been integrated in the management protocols, mainly in children under 9 years old. The presumed worse prognosis in adults is not supported in our study, and a conservative treatment is urged to be considered in this group of patients albeit the more extensive radiologic involvement of their sinuses.
[Mh] MeSH terms primary: Abscess
Amoxicillin-Potassium Clavulanate Combination/administration & dosage
Orbital Cellulitis
Rhinitis/complications
Sinusitis/complications
[Mh] MeSH terms secundary: Abscess/diagnosis
Abscess/etiology
Abscess/therapy
Acute Disease
Adult
Conservative Treatment/methods
Drainage/methods
Female
Humans
Israel/epidemiology
Male
Orbit/diagnostic imaging
Orbital Cellulitis/diagnosis
Orbital Cellulitis/etiology
Orbital Cellulitis/therapy
Prognosis
Retrospective Studies
Tomography, X-Ray Computed/methods
Treatment Outcome
beta-Lactamase Inhibitors/administration & dosage
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (beta-Lactamase Inhibitors); 74469-00-4 (Amoxicillin-Potassium Clavulanate Combination)
[Em] Entry month:1802
[Cu] Class update date: 180221
[Lr] Last revision date:180221
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180105
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417751155

  3 / 1087 MEDLINE  
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[PMID]: 29464700
[Au] Autor:Srettabunjong S
[Ad] Address:Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700.
[Ti] Title:Septic Cavernous Sinus Thrombosis Following a Minor Head Injury: A Rare Cause of Medico-Legal Death.
[So] Source:J Forensic Sci;, 2018 Feb 21.
[Is] ISSN:1556-4029
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Septic cavernous sinus thrombosis (SCST) is an uncommon consequence of head and face infection, but a rare complication after craniofacial fracture. In this case, SCST developed in a 13-year-old girl following a minor fall during volleyball, with impact and resulting abrasive contusion of the left forehead. She developed watery rhinorrhea, progressive headache, fever, nausea, vomiting, and left proptosis with blurred vision, and was admitted to hospital 3 days after injury. Drowsiness, high-grade fever, severe headache, left ocular pain with marked periorbital swelling, and paralysis of extraocular eye movements developed. Computed tomography scan identified left sphenoid and ethmoid sinusitis, a posterior clinoid fracture, and septic cavernous sinus thrombosis. She died after 10 days of in-hospital antibiotic therapy. Death was due to Staphylococcus aureus sepsis with septic pulmonary thromboemboli due to suppurative meningitis and cerebral infarction, due to SCST following apparently minor blunt head injury from an accidental fall.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1802
[Cu] Class update date: 180221
[Lr] Last revision date:180221
[St] Status:Publisher
[do] DOI:10.1111/1556-4029.13752

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[PMID]: 29455154
[Au] Autor:Bauer J; Kansagra K; Chao KH; Feng L
[Ad] Address:Department of Neurointerventional Radiology, Kaiser Permanente Medical Center, Los Angeles, California, USA.
[Ti] Title:Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein.
[So] Source:J Neurointerv Surg;, 2018 Feb 17.
[Is] ISSN:1759-8486
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180218
[Lr] Last revision date:180218
[St] Status:Publisher

  5 / 1087 MEDLINE  
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[PMID]: 29394920
[Au] Autor:Vanikieti K; Poonyathalang A; Jindahra P; Cheecharoen P; Chokthaweesak W
[Ad] Address:Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.
[Ti] Title:Occipital lobe infarction: a rare presentation of bilateral giant cavernous carotid aneurysms: a case report.
[So] Source:BMC Ophthalmol;18(1):25, 2018 Feb 02.
[Is] ISSN:1471-2415
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Cavernous carotid aneurysm (CCA) represents 2-9% of all intracranial aneurysms and 15% of internal carotid artery (ICA) aneurysms; additionally, giant aneurysms are those aneurysms that are > 25 mm in size. Bilateral CCAs account for 11-29% of patients and are commonly associated with structural weaknesses in the ICA wall, secondary to systemic hypertension. CCAs are considered benign lesions, given the low risk for developing major neurologic morbidities (i.e., subarachnoid hemorrhage, cerebral infarction, or carotid cavernous fistula). Moreover, concurrent presentation with posterior circulation cerebral infarction is even rarer, given different circulation territory from CCA. Here, we report on a patient with bilateral giant CCAs who presented with both typical and atypical symptoms. CASE PRESENTATION: An 88-year-old hypertensive woman presented with acute vertical oblique binocular diplopia, followed by complete ptosis of the right eye. Ophthalmic examination showed dysfunction of the right third, fourth, and sixth cranial nerves. Further examination revealed hypesthesia of the areas supplied by the ophthalmic (V1) and maxillary (V2) branches of the right trigeminal nerve. Bilateral giant cavernous carotid aneurysms, with a concurrent subacute right occipital lobe infarction, were discovered on brain imaging and angiogram. Additionally, a prominent right posterior communicating artery (PCOM) was revealed. Seven months later, clinical improvement with stable radiographic findings was documented without any intervention. CONCLUSIONS: Dysfunction of the third, fourth, and sixth cranial nerves, and the ophthalmic (V ) and maxillary (V ) branches of the trigeminal nerves, should necessitate brain imaging, with special attention given to the cavernous sinus. Despite unilateral symptomatic presentation, bilateral lesions cannot be excluded solely on the basis of clinical findings. CCA should be included in the differential diagnosis of cavernous sinus lesions. Although rare, ipsilateral posterior circulation cerebral infarction (i.e., occipital lobe infarction) can occur in CCA patients, presumably as a result of distal embolization through an ipsilateral, prominent PCOM. Spontaneous clinical improvement with stable radiographic support may occur.
[Mh] MeSH terms primary: Brain Infarction/diagnostic imaging
Carotid Artery Diseases/diagnostic imaging
Carotid Artery, Internal/diagnostic imaging
Cavernous Sinus Thrombosis/diagnostic imaging
Intracranial Aneurysm/diagnostic imaging
Occipital Lobe/diagnostic imaging
[Mh] MeSH terms secundary: Aged, 80 and over
Blepharoptosis/diagnosis
Carotid Artery, Internal/pathology
Diplopia/diagnosis
Female
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Occipital Lobe/pathology
Visual Fields
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180216
[Lr] Last revision date:180216
[Js] Journal subset:IM
[Da] Date of entry for processing:180204
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0687-4

  6 / 1087 MEDLINE  
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[PMID]: 29437716
[Au] Autor:Bauer J; Kansagra K; Chao KH; Feng L
[Ad] Address:Department of Neurointerventional Radiology, Kaiser Permanente Medical Center, Los Angeles, California, USA.
[Ti] Title:Transfemoral thrombectomy in the cavernous sinus and superior ophthalmic vein.
[So] Source:BMJ Case Rep;2018, 2018 Feb 07.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Cavernous sinus thrombosis (CST) is a rare condition that can cause death, neurologic disability, and visual loss. A pre-teen with septic CST leading to ocular hypertension and acute visual loss was treated at our institution with thrombectomy and thrombolysis of the cavernous sinuses and superior ophthalmic veins. Successful recanalization of the bilateral cavernous sinuses and superior ophthalmic veins was achieved in two separate procedures without complication. The patient showed immediate symptomatic relief. He was neurologically intact without visual deficits at the 2 month follow-up. This is the first report in the literature showing the feasibility of cavernous sinus thrombectomy using current devices and techniques. Early endovascular therapy may help preserve vision in patients with acute CST.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180213
[Lr] Last revision date:180213
[St] Status:In-Process

  7 / 1087 MEDLINE  
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[PMID]: 29431912
[Au] Autor:Tsuei YS; Chou YE; Chen WH; Luo CB; Yang SF
[Ad] Address:Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
[Ti] Title:Polymorphism in dural arteriovenous fistula: Matrix Metalloproteinase-2-1306 C/T as a potential risk factor for sinus thrombosis.
[So] Source:J Thromb Haemost;, 2018 Feb 12.
[Is] ISSN:1538-7836
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Dural arteriovenous fistula (DAVF) is a rare but important cerebrovascular disorder in adults. Little is known about the molecular genetic pathogenesis underlying the development of DAVF. OBJECTIVES: The present study was conducted to investigate the associations of gene polymorphisms and DAVF. MATERIALS AND METHODS: Using real-time polymerase chain reaction (PCR) genotyping, 7 single-nucleotide polymorphisms (SNPs) of angiogenesis-related genes were analyzed in 72 DAVF patients. Pertinent clinical and imaging data were sub-grouped based on location (cavernous sinus versus lateral sinus), lesions (single versus multiple), cerebral venous reflux (CVR) grading (Borden I versus Borden II/III), and sinus thrombosis (with versus without). RESULTS: We found that individuals carrying the polymorphic allele of matrix metalloproteinase (MMP)-2-1306C/T (rs243865) were more susceptible to DAVF patients with sinus thrombosis (odds ratio [OR], 6.2; 95% confidence interval [CI], 1.7 to 22.9). There was a weak difference in associations of TIMP-2 (rs2277698) gene polymorphism and DAVF patients sub-grouped by CVR grading. CONCLUSIONS: These preliminary results indicate that MMP-2-1306 C/T, but not MMP-9, TIMP-1, TIMP-2, and VEGFA SNPs variants, is a risk factor for the development of sinus thrombosis in DAVF. This article is protected by copyright. All rights reserved.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180212
[Lr] Last revision date:180212
[St] Status:Publisher
[do] DOI:10.1111/jth.13973

  8 / 1087 MEDLINE  
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[PMID]: 29426788
[Au] Autor:Margolin E; Lam CTY
[Ad] Address:Department of Ophthalmology & Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
[Ti] Title:Approach to a Patient with Diplopia in the Emergency Department.
[So] Source:J Emerg Med;, 2018 Feb 06.
[Is] ISSN:0736-4679
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Diplopia can be the result of benign or life-threatening etiologies. It is imperative for the emergency physician to be proficient at assessing diplopia and recognize when urgent referral or neuroimaging is required. OBJECTIVE: The first part of this review highlights a simple framework to arrive at the appropriate disposition of diplopic patients presenting to the emergency department (ED). The second part of this review provides more detail and further management strategies. DISCUSSION: ED strategies for assessment of diplopia are discussed. Management strategies, such as when to image, what modality of imaging to use, and urgency of referral, are discussed in detail. CONCLUSIONS: Unenhanced plain computed tomography (CT) of the head or orbits is largely not useful in the work-up of diplopia. Magnetic resonance imaging is preferred for ocular motor nerve palsies. Due to limited resources in the ED, patients with isolated fourth and sixth nerve palsies with the absence of other neurological signs on examination should be referred to Neurology or Ophthalmology for further work-up. All patients presenting with an acute isolated third nerve palsy should be imaged with CT and CT angiography of the brain to rule out a compressive aneurysm. Contrast-enhanced CT imaging of the brain and orbits would be indicated in suspected orbital apex syndrome or a retro-orbital mass, thyroid eye disease, or ocular trauma. CT and CT venogram should be considered in cases of suspected cavernous sinus thrombosis. In any patient over the age of 60 years presenting with recent (1 month) history of diplopia, inflammatory markers should be obtained to rule out giant cell arteritis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180210
[Lr] Last revision date:180210
[St] Status:Publisher

  9 / 1087 MEDLINE  
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[PMID]: 29283149
[Au] Autor:Rao R; Ali Y; Nagesh CP; Nair U
[Ad] Address:Department of Orbit, Oculoplasty and Ocular Oncology, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India.
[Ti] Title:Unilateral isolated superior ophthalmic vein thrombosis.
[So] Source:Indian J Ophthalmol;66(1):155-157, 2018 Jan.
[Is] ISSN:1998-3689
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:Superior ophthalmic vein (SOV) thrombosis is an uncommon orbital pathology that can present with sudden onset proptosis, conjunctival injection, and visual disturbance. SOV thrombosis is frequently secondary to a cavernous sinus pathology. A 32-year-old female with a known history of autoimmune hemolytic anemia presented with sudden painful proptosis left eye, and on imaging, she was found to have SOV thrombosis without cavernous sinus involvement. She was diagnosed with unilateral isolated SOV thrombosis and was managed conservatively. A careful history and clinical evaluation can help diagnose such rare disorders and initiate appropriate therapy.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1712
[Cu] Class update date: 180204
[Lr] Last revision date:180204
[St] Status:In-Data-Review
[do] DOI:10.4103/ijo.IJO_791_17

  10 / 1087 MEDLINE  
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[PMID]: 29245336
[Au] Autor:Hsieh YH; Weng TH; Tai MC; Chien KH
[Ad] Address:Department of Ophthalmology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).
[Ti] Title:Amelioration of acute orbital compartment syndrome following transvenous embolization for an indirect carotid-cavernous fistula: A case report.
[So] Source:Medicine (Baltimore);96(49):e9096, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:RATIONALE: Orbital compartment syndrome (OCS) is a rare occurrence after transvenous embolization of indirect carotid-cavernous fistula (CCF). A lateral canthotomy and cantholysis are the most commonly performed surgical interventions. In our case, as the acute OCS occurred immediately after an uneventful transvenous embolization, an orbital floor orbitectomy was performed. PATIENT CONCERNS: Here, we present a rare case of a 59-year-old patient who required a transvenous embolization of an indirect CCF and subsequently immediately developed an acute OCS. DIAGNOSES: An indirect CCF was revealed using brain magnetic resonance angiography and a transvenous embolization of the fistula was performed using coils. Post-embolization angiograms revealed an occlusion of the CCF. INTERVENTIONS: After the development of a relative afferent pupillary defect and acute OCS, we performed a lateral canthotomy, superior and inferior cantholysis, and an orbital floor orbitectomy. Subsequently, visual acuity and intraocular pressure improved. LESSONS: Our case is the first report of acute OCS occurring after transvenous embolization of a CCF that required further orbital floor decompression to prevent permanent visual loss. Moreover, our case demonstrates that acute OCS may rapidly develop after transvenous embolization due to superior ophthalmic venous (SOV) thrombosis and that an early intervention may reduce the risk of visual impairment.
[Mh] MeSH terms primary: Compartment Syndromes/etiology
Embolization, Therapeutic/adverse effects
Orbit
[Mh] MeSH terms secundary: Carotid-Cavernous Sinus Fistula/therapy
Compartment Syndromes/surgery
Humans
Intraocular Pressure
Magnetic Resonance Angiography
Male
Middle Aged
Visual Acuity
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180105
[Lr] Last revision date:180105
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009096


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