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- W2317694513 abstract "In patients with Graves disease, unilateral or markedly asymmetric ocular manifestations should raise suspicion of other ocular disorders. In the present report, we describe a patient with Graves disease who presented with a 24-hour history of severe left-sided headache and fever. Cranial computed tomography revealed pansinusitis, and the patient was treated with antibiotics and discharged. He returned 24 hours later with worsening of the headache and left eye proptosis with retrobulbar pain, periorbital swelling, conjunctival redness, and chemosis. There was also external ophthalmoplegia on lateral, upward and downward gaze of the left eye. A diagnosis of Graves ophthalmopathy was made. Later, based on computed tomography of the orbit, which revealed frontal sinusitis and thrombosis of the left cavernous sinus, and on clinical and laboratory data, a diagnosis of thyroid storm with septic thrombosis of the cavernous sinus was made. To our knowledge, this is the first report of an association between a benign condition, sinusitis, and potentially lethal septic thrombosis of the cavernous sinus and thyroid storm. The presence of sinusitis in patients with Graves disease should alert physicians to the possibility of cavernous sinus thrombosis." @default.
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- W2317694513 date "2002-11-01" @default.
- W2317694513 modified "2023-10-16" @default.
- W2317694513 title "Cavernous Sinus Thrombosis Mimicking Graves Ophthalmopathy in a Patient With Thyroid Storm" @default.
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- W2317694513 doi "https://doi.org/10.1097/00019616-200211000-00005" @default.
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