Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report
Objective: To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management. Methods: Study Design: Case Report Setting: Tertiary Govern...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2022-06-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/1611 |
| _version_ | 1811343469642252288 |
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| author | Claudette Gloria Plumo Emmanuel Tadeus Cruz |
| author_facet | Claudette Gloria Plumo Emmanuel Tadeus Cruz |
| author_sort | Claudette Gloria Plumo |
| collection | DOAJ |
| description |
Objective: To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management.
Methods:
Study Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
Results: A 35-year-old man was admitted due to intermittent right otorrhea for 20 years and headache for a month. The Glasgow Coma Scale (GCS) score was 12, and mastoidectomy performed on the second hospital day showed cholesteatoma with erosion of the bony covering of the sigmoid sinus with scanty purulent discharge. The GCS improved to 15 few hours post- operatively, however, 24 hours post-operatively, GCS decreased from 15 to 10 and a CT scan showed dilatation of cerebral ventricles and lateral sinus thrombosis which persisted on subsequent imaging studies. His condition deteriorated irreversibly despite a ventriculostomy, and he eventually expired after 3 weeks in the ward.
Conclusion: Otitic hydrocephalus due to lateral sinus thrombosis is a serious complication of chronic suppurative otitis media seldom encountered nowadays. In this case, otitic hydrocephalus developed and progressed despite broad spectrum antibiotics, mastoidectomy and a ventricular shunt. This case report underscores the importance of early recognition of warning signs of intracranial complications to institute prompt management.
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| first_indexed | 2024-04-13T19:29:43Z |
| format | Article |
| id | doaj.art-169978b3680a47659a29d07c851c16b4 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-04-13T19:29:43Z |
| publishDate | 2022-06-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-169978b3680a47659a29d07c851c16b42022-12-22T02:33:12ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012022-06-01371Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case ReportClaudette Gloria Plumo0Emmanuel Tadeus Cruz1Quezon City General Hospital and Medical CenterQuezon City General Hospital and Medical Center Objective: To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management. Methods: Study Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A 35-year-old man was admitted due to intermittent right otorrhea for 20 years and headache for a month. The Glasgow Coma Scale (GCS) score was 12, and mastoidectomy performed on the second hospital day showed cholesteatoma with erosion of the bony covering of the sigmoid sinus with scanty purulent discharge. The GCS improved to 15 few hours post- operatively, however, 24 hours post-operatively, GCS decreased from 15 to 10 and a CT scan showed dilatation of cerebral ventricles and lateral sinus thrombosis which persisted on subsequent imaging studies. His condition deteriorated irreversibly despite a ventriculostomy, and he eventually expired after 3 weeks in the ward. Conclusion: Otitic hydrocephalus due to lateral sinus thrombosis is a serious complication of chronic suppurative otitis media seldom encountered nowadays. In this case, otitic hydrocephalus developed and progressed despite broad spectrum antibiotics, mastoidectomy and a ventricular shunt. This case report underscores the importance of early recognition of warning signs of intracranial complications to institute prompt management. https://pjohns.pso-hns.org/index.php/pjohns/article/view/1611chronic suppurative otitis medialateral sinus thrombosisotitic hydrocephalusmastoidectomyventriculostomy |
| spellingShingle | Claudette Gloria Plumo Emmanuel Tadeus Cruz Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report Philippine Journal of Otolaryngology Head and Neck Surgery chronic suppurative otitis media lateral sinus thrombosis otitic hydrocephalus mastoidectomy ventriculostomy |
| title | Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report |
| title_full | Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report |
| title_fullStr | Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report |
| title_full_unstemmed | Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report |
| title_short | Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report |
| title_sort | fatal otitic hydrocephalus due to sinus thrombosis a case report |
| topic | chronic suppurative otitis media lateral sinus thrombosis otitic hydrocephalus mastoidectomy ventriculostomy |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/1611 |
| work_keys_str_mv | AT claudettegloriaplumo fatalotitichydrocephalusduetosinusthrombosisacasereport AT emmanueltadeuscruz fatalotitichydrocephalusduetosinusthrombosisacasereport |