Management of an old woman with cavernous sinus thrombosis with two different mechanisms: case report and review of the literature

Vol. 61 No. 4, 2020


Traian Flavius Dan, Silviana Nina Jianu, Nicoleta Iacob, Andrei Gheorghe Marius Motoc, Georgiana Munteanu, Adelina Baloi, Nicolae Albulescu, Dragos Catalin Jianu

Cavernous sinus thrombosis (CST) usually produces a characteristic clinical syndrome. Septic CST represents a sporadic, but severe complication of infection of the cavernous sinuses, which can bring high mortality and morbidity rates if not treated right away. Case presentation: The current research is a case report of a 64-year-old woman with inherited thrombophilia who developed an acute mastoid infection that resulted in septic right CST. The clinical diagnosis was verified by laboratory studies and evidence from high-resolution computed tomography (HRCT), magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA). Clinical medical care resulted in the patient being successfully treated with low-molecular-weight heparin and broad-spectrum intravenous antibiotics, which avoided severe complications.

Corresponding author: Andrei Gheorghe Marius Motoc, Professor, MD, PhD; e-mail:; Georgiana Munteanu, MD; e-mail:

DOI: 10.47162/RJME.61.4.35 Download PDF
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