What is the diagnosis for a patient with unilateral proptosis with bilateral 6th nerve palsy with chemosis and euthyroid status?
Cavernous Sinus Thrombosis Infection caused due to epidural and subdural infections Most common cause: Staphylococcus aureus Ocular Signs & Symptoms Proptosis Orbital pain and chemosis Abducens palsy f/b Oculomotor and trochlear nerve palsy Corneal reflex decreased Ophthalmoplegia and sluggish reactions C/L eye spread Pappilloedema Central Retinal Aery occlusion can cause decreased Visual Acuity III, IV, V and VI cranial nerves are affected in cavernous sinus syndrome III, IV, V cranial nerves are in close approximation with lateral wall and VI cranial nerve cross through the cavernous sinus.
Cavernous sinus thrombosis
Thyroid ophthalmopathy
Retinoblastoma
Orbital pseudotumour
NEET Jan 2020