Sphenoid Sinusitis Complicated by Pneumococcal Meningitis and an Infectious Aneurysm in the Intracavernous Carotid Artery.
作者： Zen Kobayashi , Sakiko Itaya , Yuji Nakamura , Miho Akaza , Hiroyuki Tomimitsu
DOI: 10.2169/INTERNALMEDICINE.54.4462
关键词: Cavernous sinus 、 Surgery 、 Radiology 、 Angiography 、 Internal carotid artery 、 Meningitis 、 Sixth nerve palsy 、 Medicine 、 Aneurysm 、 Dexamethasone 、 Meropenem
摘要: A 61-year-old Japanese woman presented with a headache and appetite loss lasting for nine days was admitted to our hospital, where she diagnosed pneumococcal meningitis associated acute sphenoid sinusitis. While the administration of meropenem dexamethasone ameliorated meningitis, right third sixth nerve palsy suddenly developed 10 after admission. CT angiography subsequently demonstrated an aneurysm in cavernous portion internal carotid artery. This is first reported case sinusitis simultaneously complicated by both infectious intracavernous
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