Foix's syndrome

Overview said, cavernous sinus syndrome; Pituitary sphenoid syndrome; Thrombosis of the cavernous sinus syndrome. Cause pathogenesis by the lateral wall of the cavernous sinus tumors, pituitary tumors, tumor sphenoid cavernous sinus thrombosis and phlebitis. intracavernous aneurysm to such III, IV, VI, V (1, 2 sticks) cranial nerve palsy. Clinical manifestations by the nature of the lesions varies : (1) tumor caused lateral wall of the cavernous sinus pressure, and emerging III, IV, VI, V (1) cranial nerve palsy, blepharoplasty, eyelid and corneal edema, exophthalmos and extraocular muscle paralysis, in the trigeminal nerve palsy, the facial area corresponding disclaimer pain. Sometimes trigeminal maxillary nerve palsy. (2) the cavernous sinus thrombosis developed by the mouth, the nose and sinus infection Focal's cavernous sinus thrombosis phlebitis. Acute onset of fever, eye socket and throat infection, compared with subacute or chronic onset, But there fever and systemic symptoms of bacteremia, some unknown persons. After ophthalmic vein involvement not cause edema and retinal hemorrhage DVDs. (3) within the cavernous sinus aneurysm aneurysm suddenly expanded, the first ipsilateral headaches and facial pain, following the trigeminal nerve is the first one, 2 sensory dysfunction, diplopia, blepharoplasty, the pupil to expand, narrow or other abnormal fixation. Differential diagnosis (1) of pituitary tumors (hypophysoma) from the syndrome often have a great sense of tumor , a breakthrough to the saddle Sella development. Early tumor can be the only manifestation of headache and endocrine disorder symptoms, such as menopause, lactation and Acromegaly disease. Very early period, in most cases without any symptoms, headache, there will be late, Most cases can be addressed to the optic chiasm compression and visual impairment there. TB symptoms of increased intracranial pressure more lighter. (2) carotid-cavernous fistula (carotid-cavernous fistula) carotid C4 of the artery and cavernous between abnormal traffic. Etiology of head injury up to see that there were idiopathic. Exophthalmos to the eye and intracranial pulsatile noise for the three symptoms, in addition to spherical membrane combined with congestive edema, extraocular muscle paralysis and visual impairment. (3) cavernous inflammatory thrombosis (caverneus sinus throm - bophle bitis) in the wider use of antibiotics before common causes, has been extremely rare. Often secondary to the face, orbital infection, in such circumstances often associated with sepsis. (4) the syndrome and needed some kind of cavernous sinus syndrome differentiation.