Abstract | Introduction and importance: Chronic otitis media can lead to dreadful intracranial complications, the most common being meningitis. A concomitant finding of thrombosis in more than one sinus with a cerebral vein is extremely rare. Septic sigmoid sinus thrombosis has an infectious origin and the treatment is debatable between antibiotics and surgery. Case presentation: Clinical discussion: Sigmoid sinus thrombosis is a rare condition caused by infections, thrombophilia, head trauma, some types of cancer, and intravenous drug use. Cerebral vein or sinus thrombosis can lead to raised intracranial pressure and can cause fever, otalgia, headache, vomiting, cranial nerve palsies, papilledema altered mental status and may cause seizures, stupor, and coma. Prompt diagnosis by CT scan or MRI and prompt treatment with antibiotics are crucial. Conclusion: Sigmoid sinus thrombosis with involvement of the transverse sinus and internal jugular vein is a rare complication of chronic otitis media, and should be suspected if a recurring fever with features of raised intracranial pressure is present in a child with chronic otitis media.
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Authors | Ujjwal K Shah, Bipesh K Shah, Vitasta Muskan, Amrit Bhusal, Neha Shah |
Journal | Annals of medicine and surgery (2012)
(Ann Med Surg (Lond))
Vol. 85
Issue 10
Pg. 5051-5055
(Oct 2023)
ISSN: 2049-0801 [Print] England |
PMID | 37811032
(Publication Type: Case Reports)
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Copyright | Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. |