Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report

Ewodo Touna Hilaire Dominique; Chislain De Chacus; Brandon Ekanmian; Mylene Tonga; Fanta Aida Ndieguene; Amadou Gallo Diop

doi:doi:10.11648/j.cnn.20220603.11

Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report

Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, Amadou Gallo Diop

Published in Clinical Neurology and Neuroscience (Volume 6, Issue 3)

Received: 21 June 2022 Accepted: 11 July 2022 Published: 28 July 2022

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Abstract

Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.

Published in	Clinical Neurology and Neuroscience (Volume 6, Issue 3)
DOI	10.11648/j.cnn.20220603.11
Page(s)	37-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Cavernous Sinus Thrombosis, Aneurysm of the Internal Carotid, Complications

References

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[2]	Dolapsakis C, Kranidioti E, Katsila S, Samarkos M. Cavernous sinus thrombosis due to ipsilateral sphenoid sinusitis. BMJ Case Rep. 29 janv 2019; 12 (1).
[3]	Plewa MC, Tadi P, Gupta M. Cavernous Sinus Thrombosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 [cité 23 feb 2021] available: http://www.ncbi.nlm.nih.gov/books/NBK448177/
[4]	Thioub M, Mbaye M, Thiam AB, Zirhumana C, Sy C, Ndoye N, et al. Microsurgical Treatment of Ruptured Intracranial Aneurysms in Sub-Saharan Africa: A Series of 102 Consecutive Cases Treated in Senegal. World Neurosurg. 1 févr 2018; 110: 226-31.
[5]	Diouf Mbourou N, Gaye MN, Nsounda A, Sounga Banzouzi PEG, Ndiaye M. Thrombose veineuse cérébrale au chu de Fann, Dakar : à propos de 30 cas [cerebral venous thrombosis at FANN teaching hospital, DAKAR: About 30 cases]. Afr J Neurol Sci [Internet]. 2019 [cité 13 oct 2020]; Disponible sur: https:/pesquisa.bvsalud.org/gim/resource/pt/afr-201245
[6]	Admin A, Niang FG, Diop AD, Niang I, Diouf KN, Thiam M, et al. Thrombose veineuse cérébrale : aspects tomodensitométriques au CHU FANN de Dakar-Sénégal [Cerebral venous thrombosis: CT scan aspects at the Fann teaching hospital, Dakar, Senegal]. J Afr Imag Médicale J Afr Imag Méd [Internet]. 12 nov 2020 [cité 18 févr 2022]; 12 (2). Disponible sur: http://www.jaim-online.net/index.php/jaim/article/view/97
[7]	Philippeau F, Hernette D, Thobois S, Turjman F, Bret P, Broussolle E, et al. Anévrysme de la carotide interne intra-caverneuse compliquant une sinusite sphénoïdale [Aneurysm of the intra-cavernous internal carotid complicating a sphenoid sinusitis]. Rev Neurol (Paris). 1 juill 2004; 160 (6): 713-5.
[8]	Mansare ML, Kouda DCA, Diallo IM, Ntenga P, Boubacar S, Gams MD, et al. Thrombose du sinus caverneux: un cas clinique revelant une tuberculose multifocale et revue de la literature [Cavernous sinus thrombosis: a clinical case revealing multifocal tuberculosis and literature review]. Afr J Neurol Sci. 2017; 36 (2): 33-42.
[9]	Al-Mufti F, Amuluru K, El-Ghanem M, Changa AR, Singh IP, Gandhi CD, et al. Spontaneous Bilateral Carotid-Cavernous Fistulas Secondary to Cavernous Sinus Thrombosis. Neurosurgery. 1 avr 2017; 80 (4): 646-54.
[10]	Hammami N, Fendri H, Krichene M, Arous A, Mahmoud M, Drissi S, et al. Les fistules carotido-caverneuses: du diagnostic au traitement endovasculaire [Carotido-cavernous fistulas: from diagnosis to endovascular treatment]. J Neuroradiol. 1 mars 2019; 46 (2): 100-1.
[11]	Geng B, Wu X, Malhotra A. Septic cavernous sinus thrombosis-Case series and review of the literature. Clin Neurol Neurosurg. oct 2020; 197: 106092.
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Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. (2022). Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clinical Neurology and Neuroscience, 6(3), 37-40. https://doi.org/10.11648/j.cnn.20220603.11

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ACS Style

Ewodo Touna Hilaire Dominique; Chislain De Chacus; Brandon Ekanmian; Mylene Tonga; Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin. Neurol. Neurosci. 2022, 6(3), 37-40. doi: 10.11648/j.cnn.20220603.11

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AMA Style

Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin Neurol Neurosci. 2022;6(3):37-40. doi: 10.11648/j.cnn.20220603.11

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@article{10.11648/j.cnn.20220603.11,
  author = {Ewodo Touna Hilaire Dominique and Chislain De Chacus and Brandon Ekanmian and Mylene Tonga and Fanta Aida Ndieguene and Amadou Gallo Diop},
  title = {Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {6},
  number = {3},
  pages = {37-40},
  doi = {10.11648/j.cnn.20220603.11},
  url = {https://doi.org/10.11648/j.cnn.20220603.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20220603.11},
  abstract = {Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.},
 year = {2022}
}

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TY - JOUR
T1 - Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report
AU - Ewodo Touna Hilaire Dominique
AU - Chislain De Chacus
AU - Brandon Ekanmian
AU - Mylene Tonga
AU - Fanta Aida Ndieguene
AU - Amadou Gallo Diop
Y1 - 2022/07/28
PY - 2022
N1 - https://doi.org/10.11648/j.cnn.20220603.11
DO - 10.11648/j.cnn.20220603.11
T2 - Clinical Neurology and Neuroscience
JF - Clinical Neurology and Neuroscience
JO - Clinical Neurology and Neuroscience
SP - 37
EP - 40
PB - Science Publishing Group
SN - 2578-8930
UR - https://doi.org/10.11648/j.cnn.20220603.11
AB - Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.
VL - 6
IS - 3
ER -

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Author Information

Ewodo Touna Hilaire Dominique

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Chislain De Chacus

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Brandon Ekanmian

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Mylene Tonga

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Fanta Aida Ndieguene

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Amadou Gallo Diop

Clinic of Neuroscience Ibrahima Pierre Ndiaye, Fann Hospital University, Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

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APA Style

Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. (2022). Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clinical Neurology and Neuroscience, 6(3), 37-40. https://doi.org/10.11648/j.cnn.20220603.11

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Ewodo Touna Hilaire Dominique; Chislain De Chacus; Brandon Ekanmian; Mylene Tonga; Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin. Neurol. Neurosci. 2022, 6(3), 37-40. doi: 10.11648/j.cnn.20220603.11

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AMA Style

Ewodo Touna Hilaire Dominique, Chislain De Chacus, Brandon Ekanmian, Mylene Tonga, Fanta Aida Ndieguene, et al. Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report. Clin Neurol Neurosci. 2022;6(3):37-40. doi: 10.11648/j.cnn.20220603.11

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@article{10.11648/j.cnn.20220603.11,
  author = {Ewodo Touna Hilaire Dominique and Chislain De Chacus and Brandon Ekanmian and Mylene Tonga and Fanta Aida Ndieguene and Amadou Gallo Diop},
  title = {Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {6},
  number = {3},
  pages = {37-40},
  doi = {10.11648/j.cnn.20220603.11},
  url = {https://doi.org/10.11648/j.cnn.20220603.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20220603.11},
  abstract = {Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.},
 year = {2022}
}

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