Cavernous sinus thrombophlebitis masquerading as ischaemic stroke: a catastrophic pitfall in any emergency department. Issue 6 (18th May 2007)

• Record Type: Journal Article
• Authors: Seow, Vei-Ken; Chong, Chee-Fah; Wang, Tzong-Luen; Lin, Chiu-Mei; Lin, I-Yin
• Is Part Of: Emergency medicine journal. Volume 24:Issue 6(2007)
• Page Start: 440
• Page End: 440
• Publication Date: 2007-05-18
• Subjects: Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emj.2006.045401
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : Cavernous sinus thrombophlebitis is a clinically rare but fatal disease that progresses rapidly. Its initial presentation is always neglected by emergency physicians, until typical symptoms and signs are noted or thin-slice brain CT results obtained, by which time it is already too late. A case of cavernous sinus thrombophlebitis caused by sinusitis, which initially masqueraded as ischaemic stroke, is reported. Blindness of the left eye was the outcome. High suspicion, accurate diagnosis and aggressive antibiotic treatment are emphasised.