Sigmoid sinus thrombosis following mastoiditis - Early diagnosis enhances good prognosis

Ozdemir D., Cakmakci H., Ikiz A., DEMİR K., Yilmaz S., Dirik E., ...Daha Fazla

PEDIATRIC EMERGENCY CARE, cilt.21, sa.9, ss.606-609, 2005 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 9
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1097/01.pec.0000177203.21774.fb
  • Dergi Adı: PEDIATRIC EMERGENCY CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.606-609
  • Anahtar Kelimeler: sigmoid sinus thrombosis, mastoiditis, INTRACRANIAL COMPLICATIONS, OTITIS-MEDIA, CHILDREN, FREQUENCY
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Sigmoid sinus thrombosis following mastoiditis is a rare, but potentially life-threatening, condition. Its treatment usually consists of systemic antibiotics and mastoidectomy. In this report, we describe a pediatric case of sigmoid sinus thrombosis following mastoiditis, presenting with nonspecific symptoms such as fever, otalgia, and headache. Diagnosis was based on magnetic resonance imaging. The patient responded very well to intravenous antibiotics with a rapid clinical improvement and complete recanalization of the thrombosed sigmoid sinus. In conclusion, mastoiditis may present few clinical symptoms. In case of treatment failure or new onset neurologic deficit in children with acute otitis media, life-threatening complications associated with mastoiditis should be considered. Early diagnosis is important, as favorable prognosis can be achieved with conservative management without performing any surgical intervention.