HEMIPARESIS AS A RARE PRESENTATION OF CAVERNOUS SINUS THROMBOSIS

Divakar Kumar; Vidyapati; Malyaban Das; Prajit Mazumdar; Ruth K Tara

Volume : VII, Issue : X, October - 2018

HEMIPARESIS AS A RARE PRESENTATION OF CAVERNOUS SINUS THROMBOSIS

Divakar Kumar, Vidyapati, Malyaban Das, Prajit Mazumdar, Ruth K Tara

Abstract :

Cavernous sinus thrombosis refers to clotting within the cavernous sinus, usually resulting from infection such as sinusitis, orbital or preseptal cellulitis or otitismedia.The valvelessnature of the veins connecting the cavernous sinus causes easy spread of infection.Septic cavernous sinus thrombosis is seldom seen now as the incidence of cavernous sinus thrombosis has been decreased greatly with the advent of potent antimicrobial agents.Septic cavernous sinus thrombosis follows a facial or sphenoid sinus infection.

Hemiplegia is a fairly unusual presentation of cavernous sinus thrombosis and in most cases is due to involvement of the internal carotid artery.We report here a case of cavernous sinus thrombosis, which was associated with rare complication of hemiparesis due to middle cereal artery territory infarct. Hence, early recognition by MRI is the key factor for the accurate diagnosis of extension of intracranial complication and involvement of narrowing of the Internal Carotid Artery.

Therefore we suggest that in patients of ischemic stroke, careful cranial nerve and ophthalmological examination should be done to rule out cavernous sinus thrombosis so that proper antibiotics can be started at the earliest so as to reduce morbidity and mortality.