Internal jugular vein thrombosis associated with acute mastoiditis in a pediatric age.
OBJECTIVE
To discuss the clinical aspects and management of internal jugular vein thrombosis associated with acute otitis media.


METHODS
Case reports and review of the literature.


METHODS
University hospital, tertiary referral center.


METHODS
The authors describe two cases of internal jugular vein thrombosis, without sigmoid sinus thrombosis, secondary to acute otomastoiditis.


METHODS
Jugular vein thrombosis was diagnosed in both cases by observation of filling defects of the involved jugular bulb on contrast-enhanced computed tomography and confirmed by conventional magnetic resonance and magnetic resonance venography.


RESULTS
Both patients recovered after recanalization of the vessel concomitant to anticoagulation and antibiotic treatment associated with a simple mastoidectomy.


CONCLUSIONS
Internal jugular vein thrombosis may be a complication of acute otitis media, without involvement of the sigmoid sinus and with a starting point in the jugular bulb. Anticoagulation associated with antibiotic therapy can be considered a safe and effective treatment. Surgery should only be performed to eliminate the source of infection from the middle ear and mastoid.
Redaelli de Zinis
Luca Oscar
LO
Department of Otolaryngology-Head and Neck Surgery, University of Brescia, Italy. redaelli@med.unibs.it
Gasparotti
Roberto
R
Campovecchi
Chiara
C
Annibale
Giacomo
G
Barezzani
Maria Grazia
MG
D000208:Acute Disease; D000658:Amoxicillin / Q000627:therapeutic use; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008297:Male; D008417:Mastoiditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010033:Otitis Media / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010690:Phlebography; D013407:Sulbactam / Q000627:therapeutic use; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; C035444:sultamicillin; D000667:Ampicillin; D000658:Amoxicillin; D013407:Sulbactam