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Forget Me Not
Authors:Behin Barahimi  Ann P. Murchison  Jurij R. Bilyk
Affiliation:1 Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
2 Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA
Abstract:A 37-year-old man presented with a facial abscess that progressed to external ophthalmoplegia and proptosis. Neuroimaging was consistent with cavernous sinus thrombosis. The diagnosis, management options, and management controversies of septic cavernous sinus thrombosis are discussed, including neuroimaging, antibiotic choice, and the role of corticosteroids and anticoagulation.
Keywords:anticoagulation   cavernous sinus thrombosis   central venous sinus anatomy   corticosteroids   CT   heparin   methicillin-resistant organisms   MRI   MRSA   orbital cellulitis   orbital venous anatomy   sepsis
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