title: Sigmoid sinus thrombosis following mastoiditis: early diagnosis enhances good prognosis.
abstract: Sigmoid sinus thrombosis following mastoiditis is a rare, but potentially life-threatening, condition. Its treatment usually consists of systemic antibiotics and mastoidectomy. In this report, we describe a pediatric case of sigmoid sinus thrombosis following mastoiditis, presenting with nonspecific symptoms such as fever, otalgia, and headache. Diagnosis was based on magnetic resonance imaging. The patient responded very well to intravenous antibiotics with a rapid clinical improvement and complete recanalization of the thrombosed sigmoid sinus. In conclusion, mastoiditis may present few clinical symptoms. In case of treatment failure or new-onset neurologic deficit in children with acute otitis media, life-threatening complications associated with mastoiditis should be considered. Early diagnosis is important, as favorable prognosis can be achieved with conservative management without performing any surgical intervention.
authors.affiliation: Department of Pediatrics, Dokuz Eylul University, Medical School, Izmir, Turkey. durgul.ozdemir@deu.edu.tr
authors.forename: Durgul
authors.initials: D
authors.lastname: Ozdemir
authors.forename: Handan
authors.initials: H
authors.lastname: Cakmakci
authors.forename: Ahmet Omer
authors.initials: AO
authors.lastname: Ikiz
authors.forename: Korcan
authors.initials: K
authors.lastname: Demir
authors.forename: Sebnem
authors.initials: S
authors.lastname: Yilmaz
authors.forename: Eray
authors.initials: E
authors.lastname: Dirik
authors.forename: Ozden
authors.initials: O
authors.lastname: Anal
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008417:Mastoiditis / Q000150:complications* / Q000188:drug therapy; D011379:Prognosis; D011859:Radiography; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D013701:Temporal Bone / Q000000981:diagnostic imaging; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents