title: Cavernous sinus thrombosis during pregnancy.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology and Instituto Universitario de Oncología del Principado de Asturias, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain. Electronic address: flopez_1981@yahoo.es.
authors.forename: Fernando
authors.initials: F
authors.lastname: López
authors.affiliation: Department of Radiology, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Santamarta
authors.affiliation: Department of Otorhinolaryngology and Instituto Universitario de Oncología del Principado de Asturias, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Martínez
authors.affiliation: Department of Radiology, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Sáiz-Ayala
authors.affiliation: Department of Otorhinolaryngology and Instituto Universitario de Oncología del Principado de Asturias, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
authors.forename: José L
authors.initials: JL
authors.lastname: Llorente
mesh_terms: D000038:Abscess / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D020226:Cavernous Sinus Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002585:Cesarean Section; D004322:Drainage; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D009916:Orbital Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011251:Pregnancy Complications, Infectious / Q000000981:diagnostic imaging* / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D034364:Streptococcus milleri Group; D014057:Tomography, X-Ray Computed; D014081:Tooth Extraction; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D005938:Glucocorticoids; D006493:Heparin; D008775:Methylprednisolone
keywords: Cavernous sinus thrombosis; Cesarean section; Pregnancy; Streptococcus milleri