of Patients Post-Diphtheritic Paralysis 45 GB Syndrome 30 Other Infections 30 Tumours 28 Vascular Disease 20 MFS 2 MS and ADEM 14
Cavernous Sinus Syndrome 5 ACM I 3 CNS Complications of Systemic Cancer 6 Trauma 5 CIDP 3 Miscellaneous 8 Unknown 1 Table 3: Infectious Causes of MCN (Excluding Diphtheria) Number of Type of Infection Patients 1.
Third, 4th, 5th and 6th cranial nerve problems are seen in not only JS but also superior orbital fissure syndrome (also known as Rochon-Duvignaud Syndrome) and
cavernous sinus syndrome.3,6 The most common complaints of these three syndromes are retroorbital pain and all are characterised by ophthalmoplegia and ptosis.3,6 Cavernous sinuses contain internal carotid artery and its sympathetic plexus, so orbital congestion and proptosis are seen in cases with
cavernous sinus syndrome.
The early and aggressive use of antibiotics for a septic
cavernous sinus syndrome can rescue an otherwise hopeless situation.
(1,2,6,7,11-13) Edema, facial bulging, epistaxis, a nasal mass, headache, rhinorrhea, proptosis, paralysis of the cranial nerves, and
cavernous sinus syndrome can also occur.