Trombose do seio lateral.

Lateral sinus thrombosis has become a rare complication of the ear in the developed world with the widespread use of antibiotics. The classic clinical picture is often modified by previous antibiotic treatment, which difficult diagnosis and treatment. The authors present the case of a seven year old...

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Main Authors: J P Luis, M Correia, A L Gomes
Format: Article
Language:English
Published: Ordem dos Médicos 1998-11-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2340
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author J P Luis
M Correia
A L Gomes
author_facet J P Luis
M Correia
A L Gomes
author_sort J P Luis
collection DOAJ
description Lateral sinus thrombosis has become a rare complication of the ear in the developed world with the widespread use of antibiotics. The classic clinical picture is often modified by previous antibiotic treatment, which difficult diagnosis and treatment. The authors present the case of a seven year old female who, after an acute left otitis media, treated and later complicated with mastoiditis, presented headaches, neck pain, papilledema and binocular diplopy. Etiologic investigation lead to the diagnosis of left lateral sinus thrombosis. Anticoagulation was started with heparin followed by dicumarinics. This treatment was maintained during eight months. At the moment, the child has no symptoms, with no papilledema or repercussions on visual acuity. The diagnosis of lateral sinus thrombosis and the need for a selection of complementary studies is discussed. A protocol treatment, based on data from a review of the literature, is suggested.
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spelling doaj.art-96c5ef8693a4458b930e5e5d5663e5fd2022-12-22T02:25:42ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581998-11-01111110.20344/amp.2340Trombose do seio lateral.J P Luis0M CorreiaA L GomesUnidade de Neurologia Pediátrica, Hospital de Santa Maria, Lisboa.Lateral sinus thrombosis has become a rare complication of the ear in the developed world with the widespread use of antibiotics. The classic clinical picture is often modified by previous antibiotic treatment, which difficult diagnosis and treatment. The authors present the case of a seven year old female who, after an acute left otitis media, treated and later complicated with mastoiditis, presented headaches, neck pain, papilledema and binocular diplopy. Etiologic investigation lead to the diagnosis of left lateral sinus thrombosis. Anticoagulation was started with heparin followed by dicumarinics. This treatment was maintained during eight months. At the moment, the child has no symptoms, with no papilledema or repercussions on visual acuity. The diagnosis of lateral sinus thrombosis and the need for a selection of complementary studies is discussed. A protocol treatment, based on data from a review of the literature, is suggested.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2340
spellingShingle J P Luis
M Correia
A L Gomes
Trombose do seio lateral.
Acta Médica Portuguesa
title Trombose do seio lateral.
title_full Trombose do seio lateral.
title_fullStr Trombose do seio lateral.
title_full_unstemmed Trombose do seio lateral.
title_short Trombose do seio lateral.
title_sort trombose do seio lateral
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2340
work_keys_str_mv AT jpluis trombosedoseiolateral
AT mcorreia trombosedoseiolateral
AT algomes trombosedoseiolateral