Oculomotor and Abducens Nerve Palsy Complicated by Cavernous Sinus Thrombophlebitis Resulting from Acute Sinusitis / 대한이비인후과학회지

ABSTRACT

Cavernous sinus thrombophlebitis is a rare complication of paranasal sinusitis. The disease can 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 and abducens nerve palsy resulting from the cavernous sinus thrombophlebitis complicated by paranasal sinusitis. CT and magnetic resonance imaging with contrast enhancement showed right unilateral pansinusitis, left maxillary, ethmoid and sphenoid sinusitis and bilateral cavernous sinus thrombophlebitis. These conditions were resolved by endoscopic sinus surgery, administration of broad spectrum antibiotics and steroid.