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Among 151 patients,tumors(45 patients,30%)were the most frequent cause of cavernous sinus syndrome.However,when surgical causes(17 patients,11%were included,trauma(36 patients,24%)became most common.Self-limited inflammation was the third frequent cause(34 patients,23%),while carotid aneurysms and fistulas,infection,and other causes composed the remaining 12%.The age at onset varied with the cause,and patients with aneurysms (average age,47 years)were older than those with self-limited inflammation (average age,35 years)and trauma(average age,29 years).Spontaneous remissions defined"self-limited inflammation"but were also seen following an acute onset of symptoms due to aneurysms and pituitary apoplexy.In an unselected series from a city hospital,tumor,trauma,and self-limited inflammation were the predominant causes of cavernous sinus syndrome,and classic causes such as aneurysm,meningioma,and bacterial infection were uncommon.Contrast-enhanced magnetic resonance imaging and watchful waiting proved the most effective diagnostic procedures. |
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