Complete visual recovery after mycotic aneurysm embolization complicated by cavernous sinus thrombophlebitis.
A 62-year-old woman has been suffered from cavernous sinus thrombophlebitis which was confirmed by four-vessel angiography, orbit magnetic resonance imaging, and blood culture. Three weeks after recovery of cavernous sinus thrombophlebitis, right eye proptosis and complete third, fourth, and sixth cranial nerve palsies developed. Best-corrected visual acuity decreased to 20/70 in the right eye. Repeat magnetic resonance imaging demonstrated a 1.5-cm-sized mass in the right cavernous sinus, suspicious for mycotic aneurysm. Amphotericin B supplementation was begun and was followed by successful transarterial Guglielmi detachable coil embolization. Four months later, extraocular movement was normalized, and visual acuity improved to 20/25 in the right eye.
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea.
Ungsoo Samuel
US
Kim
Ji Soo
JS
Kim
O-Ki
OK
Kwon
Jeong-Min
JM
Hwang
D000666:Amphotericin B / Q000627:therapeutic use; D000785:Aneurysm, Infected / Q000209:etiology* / Q000628:therapy*; D000792:Angiography; D000935:Antifungal Agents / Q000627:therapeutic use; D020226:Cavernous Sinus Thrombosis / Q000150:complications*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014792:Visual Acuity
D000935:Antifungal Agents; D000666:Amphotericin B