Obeso-Pereda A, Castro-Bórquez K, Celis-Aguilar É, Hernández-Castillo E

Language: Spanish
References: 18
Page: 151-158
PDF size: 167.20 Kb.

ABSTRACT

Lateral sinus thrombosis (LST) is one of the intracranial complications of otitis media (OM) and consists in the formation of a thrombus in the sigmoid sinus and/or in the transverse sinus, which can extend into the jugular bulb or the internal jugular vein with fatal outcomes if is not promptly treated. Typical signs of lateral sinus thrombosis are fever in spikes, headache and papilledema, which can be masked by previous use of antibiotics, representing a diagnostic challenge. The treatment of LST is controversial. We present a case of LST with atypical symptoms in which the diagnosis was made through imaging. It was treated with surgical revision of the mastoid and antibiotics obtaining favorable outcomes.

REFERENCES

1. Rosenfeld RM, Shin JJ, Schwartz SR, CogginsR, Gagnon L, Hackell JM, et al. Clinical practiceguideline: otitis media with effusion (update).Otolaryngol Head Neck Surg 2016;154(15)51-541.

2. Leichtle A, Hoffmann TK, Wigand MC. Otitis media– Definition, Pathogenese, Klinik, Diagnoseund Therapie. Laryngol-Rhinol-Otol2018;97(07):497-508.

3. Viswanatha B, Naseeruddin K. Lateral sinusthrombosis in otology: a review. Mediterr J HematolInfect Dis 2010;2(3).

4. Wolfowitz BL. Otogenic intracranial complications.Arch Otolaryngol 1972; 96:220–2.

5. Penido ND, Chandrasekhar SS, Borin A, MaranhãoAS, Testa JR. Complications of otitis media;a potentially lethal problem still present. BrazJ Otorhinolaryngol 2016;82(3):253-62.

6. Govea-Camacho LH, Pérez-Ramírez R, Cornejo-Suárez A, Fierro-Rizo R, Jiménez-Sala CJ, Rosales-Orozco CS. Abordaje diagnóstico y terapéuticode las complicaciones de la otitis media en eladulto. Serie de casos y revisión de la literatura.Cirugía y Cirujanos 2016;84(5):398-404.

7. Singh G, Arora R, Garg S, Kumar D, Ranjan S.Septic Lateral Sinus Thrombosis: Sinus ExplorationIs Unnecessary. Case Rep Otolaryngol2016;(2016):1-4.

8. Manolidis S, Kutz W. Diagnosis and Managementof Lateral Sinus Thrombosis. Otol Neurotol2005;(26):1045-51.

9. Viswanatha B. Role of imaging in the managementof lateral sinus thrombosis. Clin Med ImagesInt J 2018;1(3):1-71.

10. Bluestone CD, Klein JO. Intracranial complicationsof otitis media and mastoiditis. En: Bluestone CD,et al. Eds. Pediatric Otolaryngology. 4ª ed. Philadelphia:Elsevier Health Sciences. 2003. pp. 772–774.

11. Funamura JL, Nguyen AT, Diaz RC. Otogeniclateral sinus thrombosis: case series and controversies.Int J Pediatr Otorhinolaryngol 2014;78(5):866-70.

12. Tov EE, Leiberman A, Shelef I, Kaplan DM. Conservativenonsurgical treatment of a child withotogenic lateral sinus thrombosis. Am J Otolaryngol2008; 29(2):138-41.

13. Neilan RE, Isaacson B, Kutz Jr JW, Lee KH, RolandPS. Pediatric otogenic lateral sinus thrombosisrecanalization. Int J Pediatr Otorhinolaryngol2011;75(6):850-3.

14. Vijayashree AS, Viswanatha B. Otological Manifestationsof Nonseptic Lateral Sinus Thrombosis:A Review. Indian J Otolaryngol HeadNeck Surg 2016;68(4):400-5.

15. Raja K, Parida PK, Alexander A, SurianarayananG. Otogenic Lateral Sinus Thrombosis: A Reviewof Fifteen Patients and Changing Trends in theManagement. Int Arch Otorhinolaryngol2018;22(03):208-13.

16. Christensen N, Wayman J, Spencer J. Lateral sinusthrombosis: a review of seven cases andproposal of a management algorithm. Int J PediatrOtorhinolaryngol 2009;73(4):581-4.

17. Funamura JL, Nguyen AT, Diaz RC. Otogenic lateralsinus thrombosis: case series and controversies.Int J Pediatr Otorhinolaryngol2014;78(5):866-70.

18. Sitton MS, Chun R. Pediatric otogenic lateral sinusthrombosis: role of anticoagulation and surgery. IntJ Pediatr Otorhinolaryngol 2012;76(3):428-32.