A Case of Cavernous Sinus Thrombosis Presenting with Lateral Rectus Palsy

Juhi Sheekha, Ruksana M, Ajmal Rafi

Abstract: Cavernous sinus is a hollow space underneath the brain behind the eye sockets. Cavernous sinus thrombosis is a rare but life - threatening condition which can occur as a complication of sinusitis, orbital cellulitis, otitis or trauma. It can present as headache, fever, periorbital swelling and ophthalmoplegia requiring prompt treatment. Here is a case of a 15 year female adolescent presenting with fever, headache and diplopia. MRI brain was suggestive of right CVST, was treated with antibiotics, antifungal and anticoagulants. The patient responded to treatment in 3 days with resolution of all symptoms.

Keywords: Cavernous sinus thrombosis, Lateral rectus palsy, headache, ophthalmoplegia