| Otogenic Lateral Sinus Thrombosis in Children. | |
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MedLine Citation:
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PMID: 21817945 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE:: To present the results and experience with diagnosis and treatment of lateral sinus thrombosis, as a complication of otitis media, in a pediatric population. PATIENTS:: Five children, 2 girls and 3 boys, with age ranging from 3 to 9 years, identified as having otogenic lateral sinus thrombosis confirmed with clinical symptoms and radiologic findings. INTERVENTION:: All patients underwent canal wall intact mastoidectomy with tympanostomic tube insertion. In all patients, granulation tissues from mastoids were removed and exploration of the lateral sinuses by needle aspiration was performed. All patients were treated with broad-spectrum antibiotics, and 4 of 5 patients were administered anticoagulants. MAIN OUTCOME MEASURES:: Clinical improvement, resolution of symptoms. RESULTS:: Patients with a diagnosis of otogenic lateral sinus thrombosis commonly presented with headache, nausea, and vomiting. Three patients had a bulging drum, 1 had otorrhea, and 1 had only retraction pocket. After surgery and pharmacologic treatment, clinical improvement was observed in all patients. Complication after anticoagulant administration was not observed. All patients were followed up from 12 to 36 months. All patients showed partial or complete recanalization on repeat imaging. CONCLUSION:: Lateral sinus thrombosis is a rare complication of otitis media. In some cases, diagnosis is delayed because neurologic, rather than otologic, symptoms may dominate the presentation of the lateral sinus thrombosis. In our observation, the prognosis of lateral sinus thrombosis is better when surgical and pharmacologic treatments are instituted early. |
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Authors:
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Ireneusz Bielecki; Mariusz Cofala; Jozef Mierzwinski |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-3 |
Journal Detail:
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Title: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology Volume: - ISSN: 1537-4505 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100961504 Medline TA: Otol Neurotol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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*Department of Pediatric Surgery, Division of Otolaryngology, Medical University of Silesia, Upper Silesian Center for Child Health, Katowice; and †Department of Otolaryngology, Children's Hospital of Bydgoszcz, Bydgoszcz, Poland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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