| Carotid cavernous sinus fistula caused by dental implant-associated infection. | |
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MedLine Citation:
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PMID: 21924520 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 61-year-old woman presented with painful ophthalmoplegia, Tolosa-Hunt syndrome. The patient had undergone a placement of dental implant 5 months before the presentation and had a local maxillary sinusitis 1 month later. She had not been aware of any preceding head trauma or infection. On examination, the patient showed serious right oculomotor nerve paresis and retro-orbital pain. Blood examination showed normal findings. Magnetic resonance imaging identified abnormal structure in the right cavernous sinus with flow void signals. Angiography revealed a carotid cavernous sinus fistula fed by the intracavernous branches of the internal carotid artery on both sides, right internal maxillary and middle meningeal arteries, and left ascending pharyngeal artery. The patient underwent coil embolization via both external carotid arteries. We assumed that local maxillary sinusitis caused by dental implant might spread hematogenously into the sphenoid and cavernous sinuses and formed a carotid cavernous sinus fistula, which presented with Tolosa-Hunt syndrome. Implant-associated infection has to be managed promptly with adequate manner before it spreads. |
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Authors:
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Yuzaburo Shimizu; Satoshi Tsutsumi; Yukimasa Yasumoto; Masanori Ito |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-09-15 |
Journal Detail:
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Title: American journal of otolaryngology Volume: 33 ISSN: 1532-818X ISO Abbreviation: Am J Otolaryngol Publication Date: 2012 May-Jun |
Date Detail:
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Created Date: 2012-05-01 Completed Date: 2012-09-25 Revised Date: 2013-05-06 |
Medline Journal Info:
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Nlm Unique ID: 8000029 Medline TA: Am J Otolaryngol Country: United States |
Other Details:
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Languages: eng Pagination: 352-5 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurological Surgery, Juntendo University Urayasu Hospital, Chiba, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiography Carotid-Cavernous Sinus Fistula / diagnosis, etiology*, therapy Dental Implants / adverse effects*, microbiology Diagnosis, Differential Embolization, Therapeutic Female Follow-Up Studies Humans Magnetic Resonance Imaging Middle Aged Prosthesis-Related Infections / diagnosis, etiology* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Dental Implants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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