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海绵窦和颈内静脉血栓形成、颅底骨髓炎和颅神经麻痹：蝶窦炎的灾难性并发症。

Cavernous sinus and jugular thromboses, base of skull osteomyelitis and cranial nerve palsies: catastrophic complications of sphenoid sinusitis.

机构信息

Infectious Diseases, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia

Infectious Diseases, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.

出版信息

BMJ Case Rep. 2023 Feb 2;16(2):e253496. doi: 10.1136/bcr-2022-253496.

DOI:10.1136/bcr-2022-253496
PMID:36731941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9896245/
Abstract

Sphenoid sinusitis is a clinically important entity as it may be associated with catastrophic complications including cavernous sinus thrombosis (CST), cerebral abscess or infarction, meningitis, base of skull osteomyelitis and cranial nerve palsies. We report a case of occult sphenoid sinusitis presenting as bacteraemia, bilateral jugular vein and CST, cranial nerve palsy and base of skull osteomyelitis.

摘要

蝶窦炎是一种临床重要的病症，因为它可能与灾难性并发症相关，包括海绵窦血栓形成（CST）、脑脓肿或梗死、脑膜炎、颅底骨髓炎和颅神经麻痹。我们报告了一例隐匿性蝶窦炎病例，表现为菌血症、双侧颈内静脉和 CST、颅神经麻痹和颅底骨髓炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/3c77703186ec/bcr-2022-253496f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/ef18c3a1684a/bcr-2022-253496f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/84ac1c7e4943/bcr-2022-253496f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/3c77703186ec/bcr-2022-253496f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/ef18c3a1684a/bcr-2022-253496f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/84ac1c7e4943/bcr-2022-253496f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c682/9896245/3c77703186ec/bcr-2022-253496f03.jpg

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本文引用的文献

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Sphenoid sinusitis: a rare cause of ischaemic stroke.蝶窦炎：缺血性脑卒中的罕见病因。
BMJ Case Rep. 2021 Oct 4;14(10):e242943. doi: 10.1136/bcr-2021-242943.
2
Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation.孤立性蝶窦混浊常无症状，无需转耳鼻喉科会诊。
Sci Rep. 2021 Jun 7;11(1):11902. doi: 10.1038/s41598-021-89995-7.
3
Septic cavernous sinus thrombosis: A review.化脓性海绵窦血栓形成：综述。
Surv Ophthalmol. 2021 Nov-Dec;66(6):1021-1030. doi: 10.1016/j.survophthal.2021.03.009. Epub 2021 Apr 5.
4
Patients with Lemierre syndrome have a high risk of new thromboembolic complications, clinical sequelae and death: an analysis of 712 cases.莱姆病综合征患者存在发生新的血栓栓塞性并发症、临床后遗症和死亡的高风险：712 例病例分析。
J Intern Med. 2021 Mar;289(3):325-339. doi: 10.1111/joim.13114. Epub 2020 Jun 18.
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Corticosteroids as standalone or add-on treatment for sore throat.皮质类固醇作为咽痛的单独治疗或辅助治疗。
Cochrane Database Syst Rev. 2020 May 1;5(5):CD008268. doi: 10.1002/14651858.CD008268.pub3.
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Systematic review of the role of corticosteroids in cervicofacial infections.皮质类固醇在颌面感染中作用的系统评价
Br J Oral Maxillofac Surg. 2019 Apr;57(3):196-206. doi: 10.1016/j.bjoms.2019.01.010. Epub 2019 Feb 13.
7
Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis.同侧蝶窦炎所致海绵窦血栓形成
BMJ Case Rep. 2019 Jan 29;12(1):e227302. doi: 10.1136/bcr-2018-227302.
8
Clinical features of visual disturbances secondary to isolated sphenoid sinus inflammatory diseases.孤立性蝶窦炎性疾病继发视力障碍的临床特征
BMC Ophthalmol. 2017 Dec 6;17(1):237. doi: 10.1186/s12886-017-0634-9.
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Sphenoid Sinus Diseases: A Review of 1,442 Patients.蝶窦疾病：1442例患者的回顾
Int J Otolaryngol. 2017;2017:9650910. doi: 10.1155/2017/9650910. Epub 2017 Sep 27.
10
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