EMERGENCY CASEBOOK
Cavernous sinus thrombophlebitis masquerading as ischaemic stroke: a catastrophic pitfall in any emergency department
1 Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
2 Fu Jen Catholic University, Taipei, Taiwan
Correspondence to:
Correspondence to:
Dr I-Yin Lin
Emergency Department, Shin Kong Wu Ho-Su Memorial Hospital, 95 Wen-Chang Road, Shih-Lin District, Taipei 11101, Taiwan; liniyin889{at}hotmail.com
Cavernous sinus thrombophlebitis is a clinically rare but fatal disease that progresses rapidly. Its initial presentation is always neglected by emergency physicians, until typical symptoms and signs are noted or thin-slice brain CT results obtained, by which time it is already too late. A case of cavernous sinus thrombophlebitis caused by sinusitis, which initially masqueraded as ischaemic stroke, is reported. Blindness of the left eye was the outcome. High suspicion, accurate diagnosis and aggressive antibiotic treatment are emphasised.
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