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Cavernous sinus thrombophlebitis masquerading as ischaemic stroke: a catastrophic pitfall in any emergency department.

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Academic year: 2021

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Cavernous sinus thrombophlebitis

masquerading as ischaemic stroke: a

catastrophic pitfall in any emergency

department

林秋梅

Seow VK;Chong CF;Wang TL;Lin CM;Lin IY

摘要

Abstract

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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