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편측 외전신경마비를 보인 특발성 해면정맥동 혈전증 1예

Other Titles
 Idiopathic Cavernous Sinus Thrombosis Presenting Unilateral Abducens Nerve Palsy 
 한철수  ;  오여진  ;  김지화  ;  이경열 
 Journal of Neurocritical Care, Vol.7(2) : 133-136, 2014 
Journal Title
 Journal of Neurocritical Care 
Issue Date
Idiopathic cavernous sinus thrombosis ; Abducens nerve palsy ; Treatment
Background: Cavernous sinus thrombosis is usually caused by infection, such as sinusitis and dental or facial infections. Idiopathic cavernous sinus thrombosis is very rare. We report a patient diagnosed as idiopathic cavernous sinus thrombosis presenting with unilateral abducens nerve palsy and headache. Case Report: A healthy 46-year-old man presented with abrupt severe headache and developed horizontal diplopia 7 hours after onset of the headache. On neurologic examination, ophthalmoplegia of his left eye was compatible to left abducens nerve palsy. Brain magnetic resonance imaging revealed a 10.6 mm contrast defect lesion in the left side of the cavernous sinus. He was diagnosed as cavernous sinus thrombosis. Lab study showed no evidence of infection, coagulopathy or autoimmune disorder. We started treatment with heparin and intravenous dexamethasone, which lessened the headache and diplopia. Conclusion: To our knowledge, this is the first report of idiopathic cavernous sinus thrombosis in Korea. Anticoagulation and steroid therapy have an effect on idiopathic cavernous sinus thrombus.
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1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ji Hwa(김지화)
Lee, Kyung Yul(이경열) ORCID logo https://orcid.org/0000-0001-5585-7739
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