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Otogenic Lateral Sinus Thrombosis: A Review of Fifteen Patients and Changing
Trends in the Management
#MMPMID29983756
Raja K
; Parida PK
; Alexander A
; Surianarayanan G
Int Arch Otorhinolaryngol
2018[Jul]; 22
(3
): 208-213
PMID29983756
show ga
Introduction ?Otogenic lateral sinus thrombosis is a rare intracranial
complication of otitis media in the modern age of antibiotic treatment, but it is
potentially a dangerous complication. Objectives ?The aim of this study is to
focus on the various clinical presentations, management options and sequelae in a
series of fifteen patients with otogenic lateral sinus thrombosis. Methods
?Retrospective chart review of inpatients treated for otogenic lateral sinus
thrombosis at our tertiary care institution between 2010 and 2015. Results ?A
total of 15 patients (11 males and 4 females) with ages ranging from 9 to 60
years were diagnosed with otogenic lateral sinus thrombosis. The most commonly
reported symptoms were headache, ear discharge and hard of hearing, which were
experienced by all 15 (100%) patients. In contrast to previous studies found in
the literature, 7 (47%) patients in our series presented with neck pain and neck
abscess. Imaging studies and microbiological cultures were performed for all
patients, who also underwent a mastoidectomy procedure. Internal jugular vein
ligation was performed on 5 (33%) patients. Incision and drainage of the neck
abscess was performed on 7 (47%) patients. All patients had a satisfactory
resolution of their symptoms, and the mortality rate was of 0%. Conclusions
?Otogenic lateral sinus thrombosis, though a rare complication, can still occur;
therefore, keeping a high level of suspicion is important, especially in
developing countries. We also describe the patients with neck abscess associated
with this rare condition. Combining parenteral antibiotics with surgical
intervention is the treatment of choice.
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