Résumé

We report the case of a girl transferred to our department for treatment of sepsis. On admission, physical examination revealed right eyelid edema and frank meningeal syndrome. The brain CT scan then performed returned to normal. After 10 days of antibiotic therapy, in a persistent infectious context, ptosis, ophthalmoplegia and arereactive mydriasis appeared in the right eye. Brain MRI showed thrombophlebitis of the cavernous sinus. Adapted antibiotic therapy and anticoagulant treatment have been instituted. After four weeks, the outcome was favourable, marked by a complete regression of the signs, particularly ophthalmological, and a disappearance of the radiological signs of cavernous sinus thrombosis. However, sequelae quadriventricular hydrocephalus was noted.

Mot-clés :

Thrombophlebitis, Cavernous Sinus, Heparinotherapy, Senegal