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Cavernous sinus thrombophlebitis in children
A Visudtibhan1, P Visudhiphan, S Chiemchanya
1Division of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
Pediatric Neurology
|March 29, 2001
Summary
Cavernous sinus thrombophlebitis in children, though severe, rarely leads to permanent deficits. Prompt diagnosis and antibiotic treatment are key for excellent outcomes in pediatric cavernous sinus thrombophlebitis cases.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Ophthalmology
Background:
- Cavernous sinus thrombophlebitis (CST) is a rare but serious condition.
- Predisposing infections and causative microorganisms in pediatric CST align with existing literature.
Observation:
- A retrospective review of eight pediatric patients diagnosed with CST at Ramathibodi Hospital, Bangkok, over 30 years.
- Patients presented with severe neurological dysfunction, including blindness, during their hospital stay.
Findings:
- The majority of pediatric patients with CST experienced neither death nor severe permanent neurological deficits.
- One patient developed mild hemiparesis secondary to cerebral infarction.
Implications:
- Early recognition and prompt initiation of appropriate empirical antibiotic therapy are crucial for managing pediatric CST.
- Awareness of potential complications and timely intervention contribute to excellent patient outcomes in cavernous sinus thrombophlebitis.
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