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A Case Report of Cavernous Sinus Syndrome in a Patient With T akayasu's Arteritis
Author(s) -
Rotstein Dalia L.,
Tyndel Felix J.,
TangWai David F.
Publication year - 2014
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.12390
Subject(s) - arteritis , medicine , vasculitis , cavernous sinus , differential diagnosis , anti neutrophil cytoplasmic antibody , pathology , dermatology , radiology , disease
Neurologists must entertain a broad differential diagnosis when considering a patient with cavernous sinus syndrome, including neoplasm, trauma, vascular causes, inflammatory processes, and infections. We report the case of a 37‐year‐old woman initially diagnosed with cavernous sinus syndrome, where subsequent investigations revealed findings of T akayasu's arteritis, a large vessel vasculitis. The patient also tested positive for perinuclear antineutrophil cytoplasmic antibodies, suggesting the possibility of a vasculitic spectrum disorder although no clinical features of W egener's granulomatosis were present. Criteria for T akayasu's arteritis and its protean neurologic manifestations are reviewed. This case highlights the spectrum of vasculitic conditions that may be associated with cavernous sinus inflammation.