Pathology · single question

Classic symptoms: ptosis, swelling, fever. What could this be?

  1. Cavernous sinus thrombophlebitis (thrombosis)
  2. Bell's palsy
  3. Trigeminal neuralgia
  4. Ludwig's angina
Show answer and explanation

Correct answer: A. Cavernous sinus thrombophlebitis (thrombosis)

  • A. Correct. Cavernous sinus thrombosis classically presents with periorbital swelling, ptosis, cranial nerve palsies, fever, and is a serious complication that can arise from spreading odontogenic infection.
  • B. Bell's palsy presents with unilateral facial paralysis, not the fever/swelling/ptosis triad.
  • C. Trigeminal neuralgia presents with sharp facial pain, not these systemic/orbital signs.
  • D. Ludwig's angina presents with bilateral submandibular/sublingual swelling and airway compromise, not specifically ptosis.

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