Cerebral sinovenous thrombosis as a complication of otitis media

Salloum, Shafee; Belzer, Kira

doi:10.1002/ccr3.1948

Cited by 2 publications

(7 citation statements)

References 10 publications

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“…Contrast enhancing computed tomography of the head and neck is performed to investigate intra cranial complications of otitis media, especially the cerebral sinovenous thrombosis. 5 , 9 …”

Section: Discussionmentioning

confidence: 99%

“…5,9 Lateral Sinus thrombosis may be diagnosed by the presence of the pathognomonic empty delta sign which consists of an empty triangle appearance created by the thrombus within the sinus surrounded by contrastenhanced dura. 5,9,14,17 In our study, the lateral sinus was the most common location in our patients. It was confined in 70% of cases and spread to the jugular vein in four cases and the cavernous sinus in only one case.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of cerebral thrombophlebitis is based on radiographic imaging techniques. Contrast enhancing computed tomography of the head and neck is performed to investigate intra cranial complications of otitis media, especially the cerebral sinovenous thrombosis 5,9 …”

Section: Discussionmentioning

confidence: 99%

“…The American Stroke Association advises Low molecular weight heparin (LMWH) for kids with Cerebral sinovenous thrombosis (CSVT) outside of the newborn period, even if there is proof of cerebral hemorrhage 5,22 . It is recommended over other anticoagulants 5,17 because it reduces the risk of long‐term neurological sequelae, increases the rate of recanalization, and prevents thrombus propagation. However, it can also lead to thrombocytopenia, bleeding, hemorrhagic skin necrosis, and an increased risk of septic emboli 11 .…”

Section: Discussionmentioning

confidence: 99%

“…In special instances of thrombus propagation, embolic events, and neurological alterations, it may therefore be indicated 1,21 . The American Stroke Association advises Low molecular weight heparin (LMWH) for kids with Cerebral sinovenous thrombosis (CSVT) outside of the newborn period, even if there is proof of cerebral hemorrhage 5,22 . It is recommended over other anticoagulants 5,17 because it reduces the risk of long‐term neurological sequelae, increases the rate of recanalization, and prevents thrombus propagation.…”

Section: Discussionmentioning

confidence: 99%

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Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature

Abir

Amal

Bellakhdher

et al. 2022

Clinical Case Reports

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Otogenic cerebral sinovenous thrombosis is an intracranial complication secondary to otogenic disease; it is rare but could be a life‐threatening condition. Its management is always challenging. This study aimed to focus on clinical features, on diagnosis of this pathology and to review the most controversial aspect of management of otogenic cerebral sinovenous thrombosis. We reviewed retrospectively 10 inpatients treated with cerebral sinus thrombosis secondary to otitis between 1995 and 2020. Ten inpatients (eight males and two females) with ages ranging from 11 to 77 years were diagnosed with ontogenesis sinus thrombosis. The most commonly reported symptoms were headaches and otalgia. Five patients had mastoiditis, and 7 of the 10 patients had other concurrent complications: cerebellar abscess (three patients) and extradural empyema in two patients, retropharyngeal abscess in one patient, and meningitis in one patient. All patients were treated with broad‐spectrum antibiotherapy, anticoagulation was used to treat nine patients, and surgery was required in nine patients. Nine patients had satisfactory resolution of their symptoms, but one patient had sequel as permanent loss of visual acuity. Because of the inconspicuous clinical presentation, and the probability of a fatal evolution, suspicion is essential for a proper diagnosis and suitable treatment.

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“…Contrast enhancing computed tomography of the head and neck is performed to investigate intra cranial complications of otitis media, especially the cerebral sinovenous thrombosis. 5 , 9 …”

Section: Discussionmentioning

confidence: 99%