title: Non-fatal extensive cerebral venous thrombosis as a complication of adenotonsillectomy.
abstract: Adenotonsillectomy, a common ambulatory surgical procedure performed in the pediatric population, may at times lead to serious postoperative complications. The case of a 10-year-old with extensive cerebral venous thrombosis (CVT) following routine adenotonsillectomy is presented and the likely risk factors are discussed. Recent literature regarding CVT in children will be reviewed. To our knowledge, there are no previous reports in the Otolaryngology literature of extensive CVT as a complication of adenotonsillectomy. This clinical entity is more common than previously thought. Awareness and a high index of suspicion and initiation of timely management can reduce the risk of potentially fatal outcomes.
authors.affiliation: Division of Pediatric Otolaryngology-Head and Neck Surgery, B.C. Children's Hospital, K2-184, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.
authors.forename: Ronak
authors.initials: R
authors.lastname: Rahmanian
authors.affiliation: Division of Pediatric Otolaryngology-Head and Neck Surgery, B.C. Children's Hospital, K2-184, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.
authors.forename: Veronique
authors.initials: V
authors.lastname: Wan Fook Cheung
authors.affiliation: Division of Pediatric Otolaryngology-Head and Neck Surgery, B.C. Children's Hospital, K2-184, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada. Electronic address: nchadha@cw.bc.ca.
authors.forename: Neil K
authors.initials: NK
authors.lastname: Chadha
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects*; D002648:Child; D006801:Humans; D020767:Intracranial Thrombosis / Q000209:etiology*; D008297:Male; D009765:Obesity / Q000150:complications; D020181:Sleep Apnea, Obstructive / Q000601:surgery; D014068:Tonsillectomy / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000209:etiology*
keywords: Adenotonsillectomy; Cerebral venous thrombosis; Obstructive sleep apnea; Post-adenotonsillectomy complication; Thrombosis