Headache and fevers, sometimes with unilateral swelling over the face.
Chronic sinusitis, brain abscess and occasionally trauma. The sinuses lie next to cranial nerves III, IV, V, and VI and can impinge upon them with cause paralysis of the extraocular muscles and painful ophthalmoplegia.
Bacteria travel down the valveless veins of the face to the cavernous sinuses.
Anticoagulation is an important adjunctive therapy decreasing complications.
Can be difficult to diagnosis without an MRI or high-resolution CT.
Last Update: 06/04/18.