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Otogenic Lateral Sinus Thrombosis: A Review of Fifteen Patients and Changing Trends in the Management.
Raja, Kalaiarasi; Parida, Pradipta Kumar; Alexander, Arun; Surianarayanan, Gopalakrishnan.
Afiliação
  • Raja K; Department of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Pondicherry, Puducherry, India.
  • Parida PK; Department of ENT, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
  • Alexander A; Department of ENT, Jawaharlal Institute of Post-Graduate Medical Education, Pondicherry, Puducherry, India.
  • Surianarayanan G; Department of ENT, Mahatma Gandhi Medical College and Research Institute, Pondicherry, Puducherry, India.
Int Arch Otorhinolaryngol ; 22(3): 208-213, 2018 Jul.
Article em En | MEDLINE | ID: mdl-29983756
Introduction Otogenic lateral sinus thrombosis is a rare intracranial complication of otitis media in the modern age of antibiotic treatment, but it is potentially a dangerous complication. Objectives The aim of this study is to focus on the various clinical presentations, management options and sequelae in a series of fifteen patients with otogenic lateral sinus thrombosis. Methods Retrospective chart review of inpatients treated for otogenic lateral sinus thrombosis at our tertiary care institution between 2010 and 2015. Results A total of 15 patients (11 males and 4 females) with ages ranging from 9 to 60 years were diagnosed with otogenic lateral sinus thrombosis. The most commonly reported symptoms were headache, ear discharge and hard of hearing, which were experienced by all 15 (100%) patients. In contrast to previous studies found in the literature, 7 (47%) patients in our series presented with neck pain and neck abscess. Imaging studies and microbiological cultures were performed for all patients, who also underwent a mastoidectomy procedure. Internal jugular vein ligation was performed on 5 (33%) patients. Incision and drainage of the neck abscess was performed on 7 (47%) patients. All patients had a satisfactory resolution of their symptoms, and the mortality rate was of 0%. Conclusions Otogenic lateral sinus thrombosis, though a rare complication, can still occur; therefore, keeping a high level of suspicion is important, especially in developing countries. We also describe the patients with neck abscess associated with this rare condition. Combining parenteral antibiotics with surgical intervention is the treatment of choice.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int Arch Otorhinolaryngol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Índia País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int Arch Otorhinolaryngol Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Índia País de publicação: Brasil