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A case of septic cavernous sinus thrombosis with sequential dynamic angiographic changes. A case report
1Department of Neurosurgery, Toyama Medical & Pharmaceutical University, Japan.
Surgical Neurology
|July 1, 1989
Summary
Septic cavernous sinus thrombosis can lead to intracavernous aneurysms, as shown by dynamic angiographic changes. Surgical intervention resulted in rapid neurological recovery.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Septic cavernous sinus thrombosis is a rare but serious condition.
- Intracavernous aneurysms can be a complication of septic cavernous sinus thrombosis.
- Dynamic angiographic changes are crucial for understanding disease progression.
Observation:
- A case report of a 32-year-old male with septic cavernous sinus infection.
- Serial angiograms revealed sequential changes: normal study, stenosis, recovery, and aneurysm formation.
- Progressive ophthalmoplegia necessitated surgical intervention.
Findings:
- The study demonstrates the development of an intracavernous aneurysm secondary to septic cavernous sinus thrombosis.
- Angiographic findings showed dynamic changes indicative of evolving vascular pathology.
- Superficial temporal-middle cerebral artery anastomosis and internal carotid artery ligation were performed.
Implications:
- This case highlights the importance of serial angiography in diagnosing and monitoring complications of septic cavernous sinus thrombosis.
- Surgical treatment, including revascularization and vessel ligation, can lead to rapid neurological improvement.
- Understanding these sequential angiographic changes is vital for effective management of septic cavernous sinus thrombosis and its associated aneurysms.