Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature
Abstract Otogenic cerebral sinovenous thrombosis is an intracranial complication secondary to otogenic disease; it is rare but could be a life‐threatening condition. Its management is always challenging. This study aimed to focus on clinical features, on diagnosis of this pathology and to review the...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.6475 |
| _version_ | 1811185060916756480 |
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| author | Meherzi Abir Gdissa Amal Bellakhdher Mouna Omri Malika Ben Sghaier Habiba Houas Jihen Kermani Wassim Abdelkefi Mohamed |
| author_facet | Meherzi Abir Gdissa Amal Bellakhdher Mouna Omri Malika Ben Sghaier Habiba Houas Jihen Kermani Wassim Abdelkefi Mohamed |
| author_sort | Meherzi Abir |
| collection | DOAJ |
| description | Abstract Otogenic cerebral sinovenous thrombosis is an intracranial complication secondary to otogenic disease; it is rare but could be a life‐threatening condition. Its management is always challenging. This study aimed to focus on clinical features, on diagnosis of this pathology and to review the most controversial aspect of management of otogenic cerebral sinovenous thrombosis. We reviewed retrospectively 10 inpatients treated with cerebral sinus thrombosis secondary to otitis between 1995 and 2020. Ten inpatients (eight males and two females) with ages ranging from 11 to 77 years were diagnosed with ontogenesis sinus thrombosis. The most commonly reported symptoms were headaches and otalgia. Five patients had mastoiditis, and 7 of the 10 patients had other concurrent complications: cerebellar abscess (three patients) and extradural empyema in two patients, retropharyngeal abscess in one patient, and meningitis in one patient. All patients were treated with broad‐spectrum antibiotherapy, anticoagulation was used to treat nine patients, and surgery was required in nine patients. Nine patients had satisfactory resolution of their symptoms, but one patient had sequel as permanent loss of visual acuity. Because of the inconspicuous clinical presentation, and the probability of a fatal evolution, suspicion is essential for a proper diagnosis and suitable treatment. |
| first_indexed | 2024-04-11T13:22:53Z |
| format | Article |
| id | doaj.art-e65d71a463474f1eb450e35dc09ee7b2 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-04-11T13:22:53Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-e65d71a463474f1eb450e35dc09ee7b22022-12-22T04:22:09ZengWileyClinical Case Reports2050-09042022-10-011010n/an/a10.1002/ccr3.6475Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literatureMeherzi Abir0Gdissa Amal1Bellakhdher Mouna2Omri Malika3Ben Sghaier Habiba4Houas Jihen5Kermani Wassim6Abdelkefi Mohamed7Department of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaDepartment of Otorhinolaryngology, Faculty of Medicine, University of Soussse Farhat Hached Hospital Sousse TunisiaAbstract Otogenic cerebral sinovenous thrombosis is an intracranial complication secondary to otogenic disease; it is rare but could be a life‐threatening condition. Its management is always challenging. This study aimed to focus on clinical features, on diagnosis of this pathology and to review the most controversial aspect of management of otogenic cerebral sinovenous thrombosis. We reviewed retrospectively 10 inpatients treated with cerebral sinus thrombosis secondary to otitis between 1995 and 2020. Ten inpatients (eight males and two females) with ages ranging from 11 to 77 years were diagnosed with ontogenesis sinus thrombosis. The most commonly reported symptoms were headaches and otalgia. Five patients had mastoiditis, and 7 of the 10 patients had other concurrent complications: cerebellar abscess (three patients) and extradural empyema in two patients, retropharyngeal abscess in one patient, and meningitis in one patient. All patients were treated with broad‐spectrum antibiotherapy, anticoagulation was used to treat nine patients, and surgery was required in nine patients. Nine patients had satisfactory resolution of their symptoms, but one patient had sequel as permanent loss of visual acuity. Because of the inconspicuous clinical presentation, and the probability of a fatal evolution, suspicion is essential for a proper diagnosis and suitable treatment.https://doi.org/10.1002/ccr3.6475anticoagulationconcurrent complicationmanagementMRIotogenic sinus thrombosissurgery |
| spellingShingle | Meherzi Abir Gdissa Amal Bellakhdher Mouna Omri Malika Ben Sghaier Habiba Houas Jihen Kermani Wassim Abdelkefi Mohamed Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature Clinical Case Reports anticoagulation concurrent complication management MRI otogenic sinus thrombosis surgery |
| title | Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature |
| title_full | Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature |
| title_fullStr | Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature |
| title_full_unstemmed | Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature |
| title_short | Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature |
| title_sort | clinical features of otogenic cerebral sinovenous thrombosis our experience and review of literature |
| topic | anticoagulation concurrent complication management MRI otogenic sinus thrombosis surgery |
| url | https://doi.org/10.1002/ccr3.6475 |
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