Case Reports October 23, 2024 October 23, 2024

Rare case of cavernous sinus thrombosis and central retinal artery occlusion in a young patient with satisfactory evolution

DOI: 10.37039/1982.8551.20240060

ABSTRACT

Cavernous sinus thrombosis is a rare, capricious condition, associated with the extension of infectious processes, which may originate from the middle third of the face, such as sinusitis that affects the paranasal sinuses of the face. Namely, the primary sites of infection are commonly the face, orbits and ethmoid, and sphenoid sinuses. The typical clinical presentation includes fever and periorbital edema followed by headache, ptosis and extraocular muscle paralysis. The diagnosis is eminently clinical and difficult to make. It should be noted that treatment must be emphatic to be effective. The prognosis of this disease is directly influenced by early and appropriate treatment. In this work, the objective is to report a case of cavernous sinus thrombosis in a young patient, with an initial clinical presentation typical of post-septal cellulitis, evolving with occlusion of the retinal artery, highlighting the main clinical, diagnostic, and therapeutic aspects as well as its evolution.