Cavernous sinus thrombosis during pregnancy

• DOI: 10.1016/j.anl.2016.04.006
• Publication Date: 2016-04-14T18:09:38Z
• Authors: Fernando López; Elena Santamarta; Patricia Martínez; Antonio Sáiz-Ayala; José L. Llorente
• Keywords: Cesarean Section; Heparin; Pregnancy Complications, Cardiovascular; Streptococcus milleri Group; Cavernous Sinus Thrombosis; Anticoagulants; Magnetic Resonance Imaging; Methylprednisolone; Abscess; Anti-Bacterial Agents; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Streptococcal Infections; Tooth Extraction; Orbital Diseases; Drainage; Humans; Female; Pregnancy Complications, Infectious; Tomography, X-Ray Computed; Glucocorticoids

Cavernous sinus thrombosis (CST) represents a rare but devastating disease process that may be associated with significant long-term patient morbidity or mortality. Rapid diagnosis and aggressive medical and surgical management are imperative for patients with CST. We present the case of a 24-year-old pregnant woman with intraorbital abscess and CST secondary to Streptococcus milleri. Surgical intervention included orbital abscess drainage and dental extraction, medical therapy included intravenous antibiotic, heparin, and methylprednisolone and an elective cesarean section was performed. The latter was the key point to resolution the disease.