THE CAROTID VENOUS PLEXUS AS THE PATH OF INFECTION IN THROMBOPHLEBITIS OF THE CAVERNOUS SINUS

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Abstract
SYNOPSIS This communication is primarily to call attention to: (1) a type of cavernous sinus thrombophlebitis of otitic origin, which, although far from uncommon, has not received due consideration; how diagnosed, and what surgical steps may be taken for its relief, for successful surgery depends on early diagnosis; (2) the part (a) an associated sphenoidal sinus suppuration or (b) nasopharyngeal abscess plays in the production and diagnosis of a thrombophlebitis of the cavernous sinus of otitic or jugular vein origin. Cavernous sinus thrombophlebitis of otitic origin is relatively not infrequent. Brunner1 records that in twenty-two autopsies performed on patients who had died from generalized aural sepsis (in whom cavernous sinus disease was not suspected) twelve showed a septic clot in the cavernous sinus, the route of invasion of two of the twelve being by way of the carotid venous plexus (as demonstrated microscopically). I have personally treated thirty-two patients

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