CAVERNOUS SINUS THROMBOSIS: UNCOMMON COMPLICATIONS OF SINUSITIS. CONCERNING TWO CASES IN CENTRAL HOSPITAL OF YAOUNDE

Cavernous sinus thrombosis is an uncommon condition manifested by clinical signs of pain, exophthalmos, ophthalmoplegia, papillary edema and fever. The first observation is a 8 years old boy who received all vaccine doses presented with sharp and severe headache and fever, associated with bilateral eyelid swelling, exophthalmos and otorrhea. The CT scan has shown thrombophlebitis of the upper sagittal sinus and the patient was put on treatment and observation. The second observation is a 17 years old adolescent hada severe headache, loss of visual acuity, exophthalmos, photophobia and altered consciousness. The physical examination noted eyelid edema. The craniofacial CT scan with and without injection noted a defect of opacification of the cavernous compartment and a filling of the posterior ethmoidal cells. The patient was put on treatment. The evolution has been favorable.