THE SPECTRUM OF CAVERNOUS SINUS AND ORBITAL VENOUS THROMBOSIS - A CASE AND A REVIEW

Orbital venous pathologies encompass a broad range of entities includi ng tumors, shunts, congenital anomalies, aneurysms, and obstructive le sions. Patients may present with a variety of clinical findings which may include a combination of tumefaction, vascular engorgement, orbita l pulsation, and exophthalmos, depending on the relationship between t he lesion and the vascular system. Clinical findings may be unreliable in excluding serious underlying disorders, and so an extensive clinic al and radiologic evaluation is necessary. This article presents a rar e case of spontaneous aseptic cavernous sinus-superior ophthalmic vein thrombosis in a women on hormone replacement therapy, and illustrates the multidisciplinary approach in diagnosis and management. The liter ature on issues surrounding this case is reviewed.