Intracranial complications include cavernous sinus thrombosis
, brain abscesses, meningitis.
Odontogenic maxillofacial infections, if untreated, may progress to involve deep neck space infection, which can spread upward to brain causing brain abscess, meningitis and cavernous sinus thrombosis
Eight patients had posterior cerebral artery infarcts, two patients had pontine bleed, one patient presented with saccular aneurysm of ICA, and one patient had cavernous sinus thrombosis
One patient with cavernous sinus thrombosis
and otitic hydrocephalus experienced a persistent right visual-field deficit.
1) Intracranial complications involve meningitis, brain abscess, and cerebral empyemas, whereas ocular complications comprise preseptal or orbital cellulitis, subperiosteal abscess, and cavernous sinus thrombosis
TABLE Lemierre's syndrome: Potential complications (3) Category Complication Cardiovascular Endocarditis, pericarditis, carotid artery rupture, cardiac tamponade Intra-abdominal Liver abscess, splenic abscess, peritonitis Musculoskeletal Septic arthritis, osteomyelitis, arthralgia Neurologic Purulent meningitis, cerebral abscess, sigmoid sinus thrombosis, cavernous sinus thrombosis
Pulmonary Abscess, adult respiratory distress syndrome, pleural effusion, cavitation, pneumothorax, pulmonary embolism, empyema Renal Abscess, glomerulonephritis, acute renal failure, hemolytic uremic syndrome Skin Abscess
21) The process may extend postseptally, resulting in intra-orbital cellulitis, orbital abscess, subperiosteal abscess and cavernous sinus thrombosis
I was able to then quickly diagnose her with cavernous sinus thrombosis
and get her the help she needed.
Retrospective analysis suggests that anticoagulation may reduce mortality in selected cases; such as septic cavernous sinus thrombosis
complicated by subarachnoid abscess and SPE (11).
A wide variety of problems can cause damage in these areas, including compressions due to arterial-venous malformations (carotid artery aneurysm, cavernous sinus thrombosis
or fistula), tumours (pituitary adenoma, naso-pharyngeal carcinoma, meningioma, metastases), and inflammatory disorders (orbital cellulitis, dysthyroid eye disease, non-specific granulomatous masses associated with Tolosa-Hunt syndrome).