Sigmoid Sinus Thrombosis as a Complication of Acute Otitis Media in a 6-Year-Old Male

Poutoglidis, Alexandros; Tsetsos, Nikolaos; Keramari, Stergiani; Skoumpas, Ioannis; Vlachtsis, Konstantinos; Kilmpasanis, Adamantios; Fyrmpas, Georgios

doi:10.1177/01455613211015752

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…In a series of 49 patients, head CT failed to identify 14% of the patients with central venous thrombosis, whereas venous CT or MRI venography could provide positive identification of abnormalities in all cases [15]. Clinical presentation may be atypical and high clinical suspicion may be needed to prompt image investigation [16]. In cases of infectious petrositis, MRI shows hypointensity on T1weighted and hyperintensity on T2-weighted images.…”

Section: Discussionmentioning

confidence: 97%

Gradenigo’s Syndrome With Septic Lateral Sinus Thrombosis

Branco¹,

Marques²,

Santos³

et al. 2023

Cureus

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Gradenigo's syndrome (GS) is a rare but life-threatening complication of acute otitis media (AOM). It is classically defined as a clinical triad of acute otitis media, ipsilateral sixth (abducens) nerve palsy, and pain in the distribution of the first and second branches of the trigeminal nerve. Another rare but serious complication of AOM is venous sinus thrombosis, which is often associated with GS. The diagnosis of these conditions requires clinical suspicion, sound interpretation of signs and symptoms, and the use of the correct imaging techniques.Here, we present the case of an 81-year-old man with a previous history of recurrent otitis media, who presented with GS and septic lateral sinus thrombosis. The clinical presentation, physiopathology, and management of these conditions are discussed.

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Section: Discussionmentioning

confidence: 97%

Gradenigo’s Syndrome With Septic Lateral Sinus Thrombosis

Branco¹,

Marques²,

Santos³

et al. 2023

Cureus

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“…These cases highlight the importance of surgery in addition to antibiotics in managing these patients. Another more common cause of intracranial thrombosis in children is complicated acute otitis media, which also often requires surgery and intravenous antibiotics [13].…”

Section: Discussionmentioning

confidence: 99%

Pediatric COVID-19 Involving Complicated Sinusitis With Intracranial Extension and Lemierre Syndrome: A Case Report

Nallani¹,

Price²,

Narayanan³

et al. 2023

Cureus

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Pediatric coronavirus disease 2019 (COVID-19) has been associated with various complications including chronic respiratory disease and multisystem inflammatory syndrome. There are a few reported cases of complicated sinusitis following pediatric COVID-19 infection. We present a patient with recent COVID-19 who developed complicated sinusitis with intracranial extension and Lemierre syndrome. A 16-year-old female with a history of COVID-19 diagnosis 17 days prior presented with worsening head and neck symptoms. Physical examination demonstrated left proptosis, cranial nerve (CN) VI palsy, and limited neck range of motion. Imaging demonstrated bilateral sinus disease, a 3.3 × 2 × 3-centimeter sellar/clival abscess, bilateral cavernous sinus thrombosis, and thrombosis of bilateral internal jugular veins. Urgent endoscopic sinus surgery was performed, and long-term intravenous antibiotics and anticoagulation were initiated with improvement in symptoms over three weeks. Providers caring for patients with COVID-19 should keep complicated sinusitis and Lemierre syndrome in their differential. Further study of COVID-19 pathophysiology in the sinonasal mucosa is needed.

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“…Intracranial complications including subdural empyema, epidural abscess, meningitis, or cerebritis are particularly important to recognize due to the possible rapid clinical deterioration and significant morbidity and mortality associated with this condition [2]. Similar intracranial complications may also present in the setting of otitis media, another highly prevalent infection in childhood [3]. Common intracranial complications of acute otitis media are otitic hydrocephalus, extradural abscess, and lateral sinus thrombosis.…”

Section: Introductionmentioning

confidence: 99%