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ENT Nose and paranasal sinuses 1566efed

Cavernous sinus thrombosis following sinusitis results in all of the following signs except:

A
Constricted pupil in response to light
B
Engorgement of retinal veins upon ophthalmoscopic examination
C
Ptosis of eyelid
D
Ophthalmoplegia
High-Yield Explanation
Ptosis and ophthalmoplegia occur in cavernous sinus thrombosis due to involvement of III and IV and V cranial nerves. Retinal vessels are also engorged but pupils are fixed and dilated,due to involvement of III nerve and sympathetic plexus. Ref Dhingra 5/e,p 214.

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