What is the diagnosis for a patient with unilateral proptosis with bilateral 6th nerve palsy with chemosis and euthyroid status?
Cavernous sinus thrombosis
Thyroid ophthalmopathy
Retinoblastoma
Orbital pseudotumour
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.
NEET Jan 2020