Asunto(s)

Antirreumáticos/efectos adversos , Infliximab/efectos adversos , Síndrome de Miller Fisher/inducido químicamente , Síndrome de Miller Fisher/fisiopatología , Artritis Reumatoide/tratamiento farmacológico , Autoanticuerpos/inmunología , Autoantígenos/inmunología , Colitis Ulcerosa/tratamiento farmacológico , Femenino , Gangliósidos/inmunología , Humanos , Inmunoglobulinas Intravenosas/uso terapéutico , Persona de Mediana Edad , Síndrome de Miller Fisher/tratamiento farmacológico , Síndrome de Sjögren/tratamiento farmacológico

RESUMEN

71/F presented with left sided headaches and neck pain with nuchal rigidity progressively worsening over 3 weeks with no other neurologic symptoms. Odontoid osteomyelitis with epidural abscess was discovered on further workup with neuroimaging. Concurrent jugular vein and transverse sinus venous thrombosis was also found and suspected to be secondary to the pyogenic odontoid osteomyelitis. Patient was treated with intravenous antibiotics for the osteomyelitis as well as intravenous heparin for the venous thrombosis. To our knowledge, this is the first case reported in literature of transverse sinus venous thrombosis secondary to odontoid osteomyelitis.