title: Internal jugular vein thrombosis in a case of attico antral disease - a rare presentation in this modern antibiotic era.
abstract: We report a case of Internal Jugular Vein Thrombosis with a long segment thrombus in a clinical setting of attico antral type of Chronic Suppurative Otitis Media (CSOM) in a 20 year male. He presented with hectic rise of temperature with chills & rigor of 7 days duration associated with left ear discharge & throbbing headache of 10 days duration. ENT examination revealed attico antral type of Chronic suppurative Otitis Media with sinus thrombophlebitis. Further investigations revealed a mural thrombus extending from the lower part of Internal Jugular Vein (IJV) till the Torcula Herophili. Left Modified radical mastoidectomy with exposure of transverse & sigmoid sinus was done to completely eradicate the disease and source of infection. The patient was treated with oral anticoagulants and parenteral antibiotics based on the sensitivity report and became asymptomatic after 8 weeks.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Sri Ramachandra Medical College & Research Institute, Porur, Chennai, 600 116 Tamil Nadu India.
authors.forename: K R V
authors.initials: KR
authors.lastname: Sakthikumar
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Mohanty
authors.forename: A
authors.initials: A
authors.lastname: Ravikumar
authors.forename: N S
authors.initials: NS
authors.lastname: Thirumaran
keywords: C SOM; Chronic Suppurative Otitis Media; IJV thrombosis; Internal Jugular Vein Thrombosis; Intracranial complication of CSOM; Lateral Sinus Thrombosis; Sigmoid Sinus Thrombosis; Transverse Sinus Thrombosis