Bilateral acute mastoiditis complicated by lateral sinus thrombosis

AbstractA case of bilateral mastoiditis with subperiosteal abscesses complicating acute otitis media in a two and a half year old girl is presented. Contrast enhanced computerized tomography confirmed the diagnosis of right lateral sinus thrombosis. The aetiology, diagnosis and management of these conditions are discussed.

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A quartet of lateral sinus thrombosis, extradural abscess, subdural abscess and occipital abscess: complications of acute mastoiditis in a pre-adolescent child

The Journal of Laryngology & Otology ◽

10.1017/s0022215106002271 ◽

2006 ◽

Vol 120 (9) ◽

pp. 781-783 ◽

Cited By ~ 9

Author(s):

S D Charlett ◽

J W Moor ◽

C N Jenkins ◽

A P Coatesworth

Keyword(s):

Otitis Media ◽

Sinus Thrombosis ◽

Acute Otitis Media ◽

Neurological Complications ◽

Adolescent Male ◽

Successful Outcome ◽

Lateral Sinus ◽

Acute Mastoiditis ◽

Lateral Sinus Thrombosis ◽

Subdural Abscess

Neurological complications of acute mastoiditis are rare but can be life threatening. Their presentation may be masked by the use of antibiotics. We present a unique case of acute otitis media progressing to occipital, extradural and subdural abscess formation and lateral sinus thrombosis in a child. The clinical course and management of a pre-adolescent male is presented and discussed. We review the incidence, presentation and treatment of occipital abscesses and lateral sinus thrombosis with acute mastoiditis. Following extended cortical mastoidectomy, neck exploration and broad spectrum intravenous antibiotics, the patient made a full recovery. This is the first reported case of acute mastoiditis associated with occipital abscess in a child. Early, aggressive treatment is required for a successful outcome. The rarity of neurological complications, in addition to the insidious onset and subtle symptoms associated with antibiotic therapy, can make diagnosis extremely difficult. Patients with acute otitis media who fail to respond fully to treatment should be referred early for a specialist otology opinion.

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A case of lateral sinus insufficiency with acute otitis media: Early surgical intervention for prevention of lateral sinus thrombosis

Auris Nasus Larynx ◽

10.1016/j.anl.2015.04.007 ◽

2015 ◽

Vol 42 (6) ◽

pp. 492-495

Author(s):

Kuniyuki Takahashi ◽

Yutaka Yamamoto ◽

Manabu Ogi ◽

Shinsuke Ohshima ◽

Yuka Morita ◽

...

Keyword(s):

Otitis Media ◽

Surgical Intervention ◽

Sinus Thrombosis ◽

Acute Otitis Media ◽

Lateral Sinus ◽

Lateral Sinus Thrombosis ◽

Early Surgical Intervention

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Case Report: Otogenic Lateral Sinus Thrombosis

Journal of Clinical Otorhinolaryngology ◽

10.31579/2692-9562/009 ◽

2020 ◽

Vol 2 (2) ◽

pp. 01-03

Author(s):

Sedrack Matsiko

Keyword(s):

Otitis Media ◽

Low Income ◽

Clinical Presentation ◽

Sinus Thrombosis ◽

Acute Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Lateral Sinus ◽

Suppurative Otitis Media ◽

Lateral Sinus Thrombosis ◽

High Prevalence

The availability of effective antibiotic therapy has tremendously reduced the incidence of otogenic lateral sinus thrombosis (OLST) and changed its clinical presentation to a subtle one. The nature of predisposing otogenic disease has also changed from acute otitis media to chronic suppurative otitis media (CSOM). The prevalence of CSOM is still high in low-income economies. With such a high prevalence of CSOM, a good clinical acumen is required to identify and manage OLST. We present a case of chronic suppurative otitis media (CSOM) complicated by OLST.

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