Sigmoid sinus thrombosis following mastoiditis: early diagnosis enhances good prognosis.
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.
Ozdemir
Durgul
D
Department of Pediatrics, Dokuz Eylul University, Medical School, Izmir, Turkey. durgul.ozdemir@deu.edu.tr
Cakmakci
Handan
H
Ikiz
Ahmet Omer
AO
Demir
Korcan
K
Yilmaz
Sebnem
S
Dirik
Eray
E
Anal
Ozden
O
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
D000900:Anti-Bacterial Agents