title: Successful Treatment of Dental Infection-Induced Chronic Cavernous Sinus Thrombophlebitis With Antibiotics and Low-Molecular-Weight Heparin: Two Case Reports.
abstract: Two patients developed cavernous sinus thrombophlebitis from a tooth infection. A 36-year-old man experienced a severe headache with bilateral third and sixth cranial nerve palsies after extraction of his left upper third molar. Another 53-year-old diabetic man developed fever, headache, and bilateral complete ophthalmoplegia after a tooth infection. The brain magnetic resonance imaging scans of both patients showed bilateral cavernous sinus partial thrombosis. Broad-spectrum antibiotics plus low-molecular-weight heparin successfully resolved all symptoms. Both patients recovered fully without any recurrence at the 3-month follow-up visit.
authors.affiliation: Resident, Department of Neurology, Southwestern Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Li
authors.affiliation: Resident, Department of Neurology, Southwestern Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Zheng
authors.affiliation: Resident, Department of Neurology, Southwestern Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Kangning
authors.initials: K
authors.lastname: Chen
authors.affiliation: Vice Director and Associate Professor, Department of Neurology, Southwestern Hospital, Third Military Medical University, Chongqing, China. Electronic address: guiligl_7519@sina.com.
authors.forename: Li
authors.initials: L
authors.lastname: Gui
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000150:complications / Q000188:drug therapy*; D020226:Cavernous Sinus Thrombosis / Q000188:drug therapy* / Q000209:etiology; D003287:Contrast Media; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014076:Tooth Diseases / Q000150:complications / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D003287:Contrast Media; D006495:Heparin, Low-Molecular-Weight