title: Conservative nonsurgical treatment of a child with otogenic lateral sinus thrombosis.
abstract: We present the case of a 5-year-old boy with otogenic lateral sinus thrombosis that developed after acute mastoiditis, with no prior ear disease. He was treated with myringotomy and antibiotics alone, with no surgical intervention. This approach was followed owing to his good general condition, the prompt response to the antimicrobial treatment, and no evidence of suppurative disease. Sinus recanalization was evident on the follow-up computed tomography 4 months later. We believe that in selected cases of otogenic lateral sinus thrombosis, secondary to an acute ear infection with early response to antibiotic therapy, conservative treatment may be considered and surgical intervention may be withheld.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of Negev, PO Box 151, Beer-Sheva, Israel. ellaet@clalit.org.il
authors.forename: Ella Even
authors.initials: EE
authors.lastname: Tov
authors.forename: Alberto
authors.initials: A
authors.lastname: Leiberman
authors.forename: Ilan
authors.initials: I
authors.lastname: Shelef
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Kaplan
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D006801:Humans; D020227:Lateral Sinus Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008417:Mastoiditis / Q000150:complications; D000077731:Meropenem; D013845:Thienamycins / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D000077731:Meropenem