Septic Lateral Sinus Thrombosis: Sinus Exploration Is Unnecessary

Abstract

The algorithm of treatment of septic lateral sinus thrombosis (SLST) has undergone a paradigm shift with the understanding of the natural history of sigmoid sinus thrombosis. Thus, the recent medical literature promulgates the management of these cases with no sinus exploration. However, in view of marked paucity of literature on the cited subject, not much is known about this form of treatment. We present our experience of treating two paediatric cases of SLST with mastoid surgery and no sinus exploration: both cases had excellent recovery. Finally, conclusions are drawn in light of contemporary literature on this subject.

Predicting Anticoagulation Need for Otogenic Intracranial Sinus Thrombosis: A Machine Learning Approach

“…This finding is consistent with those of other studies, which posit that infection is thrombogenic and likely protective against bacteremia. [65][66][67] Our results demonstrated a significant, positive association between AC and sinus recanalization. This is in accord with other results, including Moharir et al 68 Our results also mirrored those of Coutinho et al 69 Their Cochrane systematic review describes two randomized controlled trials from 1991 to 1999 investigating the role of heparin versus placebo in the management of nonexclusively otogenic sigmoid sinus thrombosis.…”

Pneumocephalus: A Rare Complication of Mastoiditis and Cerebral Venous Sinus Thrombosis

“…Transverse or lateral CVST secondary to otitis media is an uncommon complication in children 2,3 and rarer in adults. 4 This case of chronic otitis media in a pregnant adolescent evolved to mastoiditis and septic CVST.…”

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“…Algunos otros autores abogan por un tratamiento conservador, en el que en casos se-leccionados el uso de antibióticos y con una respuesta temprana se puede suspender la intervención quirúrgica12 .Singh y colaboradores reportaron su experiencia en dos casos de TSS otógena, ambos fueron tratados con cirugía de mastoides e impregnación antibiótica bajo el principio de que la formación del trombo es secundaria a la infección y el control de ésta representa el objetivo principal. Así, con el control del sitio de infección, el trombo resuelve 7. En otro estudio retrospectivo se analizaron los re-sultados de 15 pacientes a lo largo de 11 años con trombosis otógena del seno lateral.…”

“…que refiere cefalea intensa (que puede ser unilateral), otalgia, mareo e inestabilidad, mal estado general, fotofobia, diplopía (por parálisis del nervio abdúcens) o rigidez nucal (con el resto de signos meníngeos negativos); la fiebre en picos, presentación clásica de TSS en la era preantibiótica, no se presenta de manera constante hoy en día debido al uso de antibióticos que enmascaran el cuadro7 . El signo de Griesinger,…”