Cerebral venous thrombosis has an unfavorable prognosis. It is a rather rare pathology concerning 3 to 5 cases per million inhabitants. The clinical symptomatology also varies according to the topography of the venous thrombosis and, in some cases, the CVT can have an unusual presentation. Progress and accessibility of non-invasive imaging currently allow early diagnosis of CVT. Brain MRI is the reference method for the diagnosis of CVT. We report a case of transverse sinus thrombosis in a 32-year-old male patient who consulted for headaches through which we want to study the etiological, clinical, paraclinical, therapeutic aspects as well as the evolutionary profile. The clinical history dates back to 2 weeks ago with frontal headaches radiating to the occipital region, throbbing of severe intensity, progressive onset and permanent evolution associated with right unilateral anterior purulent rhinorrhea. He had no nasal obstruction, epistaxis, hearing loss or other otological symptoms; no neurological deficit or notion of head trauma. Cerebral and maxillofacial computed tomography showed right maxillary sinusitis and right transverse sinus thrombosis. We carried out medical treatment based on antibiotics and analgesics without the use of anticoagulants. The evolution was favorable after four weeks of treatment. Conclusion: Transverse sinus thrombosis has a non-specific and heterogeneous clinical presentation. Headaches are the first sign. MRI and CT can help establish the diagnosis. The treatment is both etiological and symptomatic.

Background: This study aims to study the epidemiological and therapeutic aspects of tympanic retraction pockets in the ENT-CCF department of the CHU GT. Method: This was a descriptive prospective study. Results: A total of 9400 patients consulted during the study period. A retraction pocket was diagnosed in 70 patients, i.e., 0.74% of all consultations. The most represented age group was that of [25-39 years]. The average age was 45.71 years. The extremes of ages were 10 years and 81 years. The female gender was the most represented, i.e., 60% with a sex ratio꞊0.67. CT of the petrous bone was performed in two patients. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stage I charachon. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon). Cartilaginous tympanoplasty was performed in one patient, antroatticotomy associated with reinforcement tympanoplasty was performed in one patient (1.43%). Conclusions: The pockets of tympanic retraction constitute a particular nosological entity which deserves rigorous monitoring. The ENT surgeon will be faced with two major challenges: the erosion of the ossicular chain and their potential risk of progression towards cholesteatoma. The diversity of therapeutic options represents an issue that makes this entity a hot topic.

Pott's tumor or Pott's puffy tumor or osteomyelitis of the frontal bone is a rare clinical presentation. It usually occurs as a complication of trauma to the frontal region, frontal sinusitis or by blood-borne spread, the infection can also spread inwards leading to an intracranial abscess. This is a 04-month-old, 7 kg infant with left frontal swelling with ipsilateral orbital extension. This swelling had been evolving for approximately 1 month. The computed tomography showed a hypodensity of liquid in the left fronto-orbital subcutaneous topography with an intense annular parietal enhancement in the arterial and late stages. Treatment consisted of surgical drainage under general anesthesia. We made the incision via the left pterional approach and undermining up to the frontal bone. From the pus about 40 cc then we proceeded to the debridement of necrotic tissues and curettage of the frontal bone which was lysed in places. The germ found was Burkhoderia pseudomallei gram-negative bacillus sensitive to C3G. Pott's tumor is a rare complication most often from untreated or poorly treated frontal sinusitis. This lack of knowledge raises fears of an evolution towards intracranial complications that could be life-threatening for patients.