A 52-year-old woman presented to the emergency department complaining of progressive headaches for the last two days. In addition, she is complaining of high-grade fever and vision problems. She describes that she has been seeing objects doubled. She has been experiencing headaches and purulent drainage for the past week. She has a history of chronic hypertension and diabetes mellitus type 2. Her temperature is 38.9 C (102 F), blood pressure is 120/80 mm Hg, and pulse is 98/min. Physical examination shows ptosis, mydriasis, mild exophthalmos, and corneal reflex loss in the left eye. Visual acuity is not affected, but the patient has ophthalmoplegia in the left eye. She can not move her eye in any direction. Additionally, she has diminished sensation in the left upper face. Which of the following structures is the origin of these symptoms?

Question

Quizplus · Accepted Answer

Eductional Objective: Cavernous sinus thrombosis results from spreading infection from the medial third of the face, sinuses, and teeth. Patients present with sensory loss along the upper side of the face and ophthalmoplegia.

A 52-Year-Old Woman Presented to the Emergency Department Complaining of Progressive