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Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report

Received: 21 June 2022     Accepted: 11 July 2022     Published: 28 July 2022
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Abstract

Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.

Published in Clinical Neurology and Neuroscience (Volume 6, Issue 3)
DOI 10.11648/j.cnn.20220603.11
Page(s) 37-40
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Cavernous Sinus Thrombosis, Aneurysm of the Internal Carotid, Complications

References
[1] M’hamed RB, Chebbi G, Zgolli C, Mezri S, Brahem H, Balti M, et al. Thrombose du sinus caverneux secondaire à une infection dentaire: une complication rare et potentiellement letale [Thrombosis of cavernous sinus secondary to dental infection: a rare and potentially lethal complication]. J Tunis ORL Chir Cervico-Faciale. 2013; 29: 70-3.
[2] Dolapsakis C, Kranidioti E, Katsila S, Samarkos M. Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis. BMJ Case Rep. 29 janv 2019; 12 (1).
[3] Plewa MC, Tadi P, Gupta M. Cavernous Sinus Thrombosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 [cité 23 feb 2021] available: http://www.ncbi.nlm.nih.gov/books/NBK448177/
[4] Thioub M, Mbaye M, Thiam AB, Zirhumana C, Sy C, Ndoye N, et al. Microsurgical Treatment of Ruptured Intracranial Aneurysms in Sub-Saharan Africa: A Series of 102 Consecutive Cases Treated in Senegal. World Neurosurg. 1 févr 2018; 110: 226-31.
[5] Diouf Mbourou N, Gaye MN, Nsounda A, Sounga Banzouzi PEG, Ndiaye M. Thrombose veineuse cérébrale au chu de Fann, Dakar : à propos de 30 cas [cerebral venous thrombosis at FANN teaching hospital, DAKAR: About 30 cases]. Afr J Neurol Sci [Internet]. 2019 [cité 13 oct 2020]; Disponible sur: https:/pesquisa.bvsalud.org/gim/resource/pt/afr-201245
[6] Admin A, Niang FG, Diop AD, Niang I, Diouf KN, Thiam M, et al. Thrombose veineuse cérébrale : aspects tomodensitométriques au CHU FANN de Dakar-Sénégal [Cerebral venous thrombosis: CT scan aspects at the Fann teaching hospital, Dakar, Senegal]. J Afr Imag Médicale J Afr Imag Méd [Internet]. 12 nov 2020 [cité 18 févr 2022]; 12 (2). Disponible sur: http://www.jaim-online.net/index.php/jaim/article/view/97
[7] Philippeau F, Hernette D, Thobois S, Turjman F, Bret P, Broussolle E, et al. Anévrysme de la carotide interne intra-caverneuse compliquant une sinusite sphénoïdale [Aneurysm of the intra-cavernous internal carotid complicating a sphenoid sinusitis]. Rev Neurol (Paris). 1 juill 2004; 160 (6): 713-5.
[8] Mansare ML, Kouda DCA, Diallo IM, Ntenga P, Boubacar S, Gams MD, et al. Thrombose du sinus caverneux: un cas clinique revelant une tuberculose multifocale et revue de la literature [Cavernous sinus thrombosis: a clinical case revealing multifocal tuberculosis and literature review]. Afr J Neurol Sci. 2017; 36 (2): 33-42.
[9] Al-Mufti F, Amuluru K, El-Ghanem M, Changa AR, Singh IP, Gandhi CD, et al. Spontaneous Bilateral Carotid-Cavernous Fistulas Secondary to Cavernous Sinus Thrombosis. Neurosurgery. 1 avr 2017; 80 (4): 646-54.
[10] Hammami N, Fendri H, Krichene M, Arous A, Mahmoud M, Drissi S, et al. Les fistules carotido-caverneuses: du diagnostic au traitement endovasculaire [Carotido-cavernous fistulas: from diagnosis to endovascular treatment]. J Neuroradiol. 1 mars 2019; 46 (2): 100-1.
[11] Geng B, Wu X, Malhotra A. Septic cavernous sinus thrombosis-Case series and review of the literature. Clin Neurol Neurosurg. oct 2020; 197: 106092.
[12] Wilson WR, Hawrych A, Olan W. Rapid development of bilateral internal carotid artery aneurysm from sphenoid sinus aspergillosis. Skull Base Surg. 1998; 8 (4): 211-4.
[13] Kim US, Kim JS, Kwon O-K, Hwang J-M. Complete Visual Recovery after Mycotic Aneurysm Embolization Complicated by Cavernous Sinus Thrombophlebitis. Korean J Ophthalmol KJO. oct 2010; 24 (5): 322-4.
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    Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. (2022). Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clinical Neurology and Neuroscience, 6(3), 37-40. https://doi.org/10.11648/j.cnn.20220603.11

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    ACS Style

    Ewodo Touna Hilaire Dominique; Chislain De Chacus; Brandon Ekanmian; Mylene Tonga; Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin. Neurol. Neurosci. 2022, 6(3), 37-40. doi: 10.11648/j.cnn.20220603.11

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    AMA Style

    Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin Neurol Neurosci. 2022;6(3):37-40. doi: 10.11648/j.cnn.20220603.11

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  • @article{10.11648/j.cnn.20220603.11,
      author = {Ewodo Touna Hilaire Dominique and Chislain De Chacus and Brandon Ekanmian and Mylene Tonga and Fanta Aida Ndieguene and Amadou Gallo Diop},
      title = {Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report},
      journal = {Clinical Neurology and Neuroscience},
      volume = {6},
      number = {3},
      pages = {37-40},
      doi = {10.11648/j.cnn.20220603.11},
      url = {https://doi.org/10.11648/j.cnn.20220603.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20220603.11},
      abstract = {Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report
    AU  - Ewodo Touna Hilaire Dominique
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    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
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    EP  - 40
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20220603.11
    AB  - Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.
    VL  - 6
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Author Information
  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

  • Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

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