Sravan Kumar Reddy Edamakanti*, Greeshma Erasani, Sai Kumar Reddy Pasya, Vishnu Vardhan Byroju4
We herein report a case of bilateral Cavernous Sinus Thrombosis in a 40-yearold male in the setting of nasopharyngeal adenocarcinoma of unknown primary origin. Cavernous Sinus.Thrombosis presents with an abrupt onset of unilateral periorbital edema, headache, photophobia and bulging of the eye. Other common presenting symptoms include ptosis, chemosis and cranial nerve palsies. The patient was initially treated with anticoagulation before further evaluation revealed the extensive metastatic disease. The clinical presentation, examination findings, radiological evidence and management have been discussed here.