Cerebral venous sinus thrombosis secondary to otomastoiditis

Abstract

A 64-year-old man with chronic sinusitis and frequent antibiotic use failed a visual acuity examination. Funduscopy showed right papilloedema. There was tenderness to palpation over the right mastoid. Physical examination was otherwise normal.

Torcular herophili and lateral sinus thrombosis: An atypical presentation of Lemièrre's syndrome

“…In our case, surgical treatment was not considered due to the patient's age and comorbidities, along with the rapid improvement of the symptoms with conservative treatment. The evidence available regarding LS complicated with cerebral venous thrombosis (CVT) is scarce, and mostly based in case reports or case series (3)(4)(5)(6). In one of the largest case series of infection-associated CVT, all patients were treated with antibiotics combined with local surgical drainage or resection of the infected site; however, 50% of these patients showed an unfavourable outcome (5).…”

“…The most commonly involved bacteria is Fusobacterium necrophorum but other bacteria such as fusobacteria, Streptococcus, Staphylococcus, and Enterococcus are commonly found in cultures. Although the internal jugular vein is the most commonly affected vein, a few case reports have been published with thrombosis of other veins, such as the facial vein or transverse sinus (3)(4)(5)(6). In a recent systematic review of LS, a large proportion of cases had septic emboli in the lungs (2).…”

Lemierre's syndrome complicated by cerebral venous sinus thrombosis: A life threatening and rare disease successfully treated with empiric antimicrobial therapy and conservative approach

“…In the literature, case reports describing LS complicated with CVT are few (5,9,10). Therapeutic protocol include treatment with antibiotics combined with local surgical drainage and removal of the infected site, with poor outcome in half of the cases and side effects spanning from mild hearing impairment (specially in children) to iatrogenic facial palsy (10).…”