Cavernous Sinus Thrombosis in a Three-Year-Old Male.
- 1Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.
Abstract
Cavernous sinus thrombosis (CST) is a rare disorder that can follow head and neck infections such as acute sinusitis, peritonsillar abscess (PTA), otitis media, and mastoiditis. The clinical presentation is variable, making CST difficult to recognize at initial presentation. This case report presents a three-year-old otherwise healthy male who presented to the emergency department with two weeks of intermittent fever and rhinorrhea and one day of lethargy and left-sided ptosis. Evaluation and workup in the emergency department included computed tomography (CT) and magnetic resonance imaging (MRI), which revealed a right-sided PTA, pansinusitis, and CST with dural involvement. The patient underwent PTA drainage, bilateral ethmoidectomy, adenoidectomy, and maxillary antrostomy in the operating room. This report highlights the importance of recognizing this low-incidence, high-morbidity diagnosis in the younger pediatric population and initiating early intervention to improve patient outcomes.
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BibTeX
@article{kim2026cavernous,
title = {{Cavernous Sinus Thrombosis in a Three-Year-Old Male.}},
author = {Christina Kim and Ethan Kelly and Jessica Wimberly and Kaitlin Bettencourt},
journal = {Cureus},
year = {2026},
month = sep,
doi = {10.7759/cureus.116900},
url = {https://europepmc.org/article/MED/42928743},
note = {CC BY},
}
RIS
TY - JOUR
TI - Cavernous Sinus Thrombosis in a Three-Year-Old Male.
AU - Christina Kim
AU - Ethan Kelly
AU - Jessica Wimberly
AU - Kaitlin Bettencourt
PY - 2026
DA - 2026/09/25
JO - Cureus
DO - 10.7759/cureus.116900
UR - https://europepmc.org/article/MED/42928743
AB - Cavernous sinus thrombosis (CST) is a rare disorder that can follow head and neck infections such as acute sinusitis, peritonsillar abscess (PTA), otitis media, and mastoiditis. The clinical presentation is variable, making CST difficult to recognize at initial presentation. This case report presents a three-year-old otherwise healthy male who presented to the emergency department with two weeks of intermittent fever and rhinorrhea and one day of lethargy and left-sided ptosis. Evaluation and workup in the emergency department included computed tomography (CT) and magnetic resonance imaging (MRI), which revealed a right-sided PTA, pansinusitis, and CST with dural involvement. The patient underwent PTA drainage, bilateral ethmoidectomy, adenoidectomy, and maxillary antrostomy in the operating room. This report highlights the importance of recognizing this low-incidence, high-morbidity diagnosis in the younger pediatric population and initiating early intervention to improve patient outcomes.
SN - 2168-8184
ER -