- Unilateral Retro-orbital Headache Secondary to Septic Cavernous Sinus Thrombosis: A Case Report
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Sumin Kim, Sorae Lee, Jun-Sang Sunwoo
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Korean J Headache. 2023;24(2):80-83. Published online December 31, 2023
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Abstract
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- Septic cavernous sinus thrombosis (SCST) is a rare but fatal central nervous system infectious disease affecting the cavernous sinuses. Here, we report a case of 51-year-old woman presenting with new-onset unilateral retro-orbital headache lasting for 3 weeks and subsequent ipsilateral abducens nerve palsy. Brain magnetic resonance imaging revealed enlargement of the cavernous sinus with dural enhancement and ring-enhancing abscess in the adjacent temporal lobe. Although blood and cerebrospinal fluid cultures were negative, the patient was successfully treated with empirical antibiotic therapy. Although SCST is a possible cause of painful ophthalmoplegia, it should be kept in mind that in the early stage it may present only with headache without ocular symptoms.
- Invasive Aspergillosis Manifesting as Painful Ophthalmoplegia
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Sorae Lee, Sumin Kim, Sanggyu Han, So-Ei Ann, Pil-Wook Chung, Bum Chun Suh, Jun-Sang Sunwoo
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Korean J Headache. 2023;24(2):84-86. Published online December 31, 2023
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