Lateral Sinus Thrombosis Complicating Mastoiditis

Grafstein, Eric; Fernandes, C. M. C.; Samoyloff, Stephan

doi:10.1016/s0196-0644(95)70304-7

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…Another possibility is infectious thromboembolism. 37 Once the diagnosis of CVST with mastoiditis is made, patients may require a prolonged course of antibiotics and possibly surgical treatment. 38…”

Section: Discussionmentioning

confidence: 99%

Complicated Cerebral Venous Sinus Thrombosis With Intracranial Hemorrhage and Mastoiditis

Skeik

Stark

Tubman

2012

Vasc Endovascular Surg

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Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke, occurring when a blood clot forms in any of the brain venous sinuses. Symptoms include neurological deficits, headache, seizures, and coma. There are many predisposing factors for CVST including prothrombotic conditions, oral contraceptives, pregnancy/puerperium, malignancy, infection, and head injury. Cerebral venous sinus thrombosis has no identifiable underlying etiology in about 12.5% to 33% of the cases. Diagnosis has become easier with newer imaging techniques, such as magnetic resonance venography. The treatment options for CVST include symptomatic treatment, anticoagulation (AC), thrombolysis, and thrombectomy. Controversy exists over the efficacy and safety of AC in patients with CVST with concurrent intracranial hemorrhage (ICH). We present a complex case of CVST with ICH and mastoiditis as well as provide a literature review about CVST.

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Section: Discussionmentioning

confidence: 99%

Complicated Cerebral Venous Sinus Thrombosis With Intracranial Hemorrhage and Mastoiditis

Skeik

Stark

Tubman

2012

Vasc Endovascular Surg

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“…During pregnancy or puerperium, a significant increase in the risk of cerebral venous thrombosis was associated with caesarian delivery (OR 3.1), increasing maternal age (OR 2.5), presence of comorbidities including hyperhemesis (OR 14.2), intercurrent infections (OR 3.45) and maternal hypertension [18] Neurosurgery [19] Meningitides [20] Arterovenous malformation [21] Sepsis (sinusitis, mastoiditis, cellulitis) [22,23] Stroke and hemorrhage Space-occupying lesions Jugular catheterization Systemic Dehydration (diabetic ketoacidosis) Septicemia [24] Pregnancy and puerperium [5] Inflammatory bowel disease [25] Malignancy [26] Sarcoidosis [27] Collagen disease (Behcet's syndrome, SLE, Sjögren's syndrome) [28][29][30] Homocysteinuria [31] Nephrotic syndrome [32] Autoimmune thyroiditis Drugs…”

Section: Etiologymentioning

confidence: 99%

Epidemiology of Cerebral Vein and Sinus Thrombosis

Agnelli

Verso²

2007

Handbook on Cerebral Venous Thrombosis

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Cerebral venous thrombosis is a serious but potentially treatable cerebrovascular disorder that, unlike arterial cerebrovascular disorder, often affects young adults and children. Cerebral venous thrombosis is a challenging condition for the clinicians because of the wide spectrum of its clinical presentation. Although recognized for more than 100 years, its incidence has been underestimated in the past due to the lack of accurate diagnostic techniques.

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“…28 Angiography and venography are said to be the most de nitive methods of demonstrating LST. 21,37 They are both invasive procedures and carry a risk of stroke or dislodging the thrombus.…”

Section: Radiological Investigationsmentioning

confidence: 99%

Management of lateral sinus thrombosis: update and literature review

2003

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The management of four cases of lateral sinus thrombosis (LST) over a four-year period at the Royal Darwin Hospital is presented in this retrospective review. The patients were aboriginal and presented with otalgia, otorrhoea and sepsis. Two cases had an associated complication of an otitic hydrocephalus and a subperiosteal abscess. Cholesteatoma was found in three cases. Computed tomography (CT) scan confirmed the LST in three cases. Three patients were anaemic and thrombocytopenic. All patients had positive blood cultures. The organisms were predominantly mixed anaerobes and Bacteroides species. Three patients were managed surgically as a two-stage procedure. One patient was managed as a single-stage procedure with a modified radical mastoidectomy. Therapeutic anticoagulation was utilized in one case. There were no deaths. The prognosis of LST is good if treatment is instituted early with broad-spectrum intravenous antibiotics and surgery. The role of clot removal at surgery and the use of anticoagulation are discussed in this paper.

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Lateral Sinus Thrombosis Complicating Mastoiditis

Cited by 9 publications

References 13 publications

Complicated Cerebral Venous Sinus Thrombosis With Intracranial Hemorrhage and Mastoiditis

Complicated Cerebral Venous Sinus Thrombosis With Intracranial Hemorrhage and Mastoiditis

Epidemiology of Cerebral Vein and Sinus Thrombosis

Management of lateral sinus thrombosis: update and literature review

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