Year : 2014 | Volume
: 2 | Issue : 1 | Page : 30--36
Lateral sinus thrombosis in children: Case series
Mohamed H Alshehabi1, Munahi M Alqahtani1, Abdulrahman A Alsanosi2, Khalid A Almazrou3
1 Otorhinolaryngology Departments, Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia
2 College of Medicine, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
3 College of Medicine, National Guard Hospital, Riyadh, Kingdom of Saudi Arabia
Lateral sinus thrombosis is rare but potentially fatal condition. The consequences of misdiagnosis of this condition are detrimental.
Aims: To review our experience in lateral sinus thrombosis secondary to otogenic disease in pediatric population.
Settings and Design: Retrospective study of case series treated in two teaching hospitals over five years.
Materials and Methods: Clinically and radiologically diagnosed cases of lateral sinus thrombosis were identified through database search.
Results: Lateral sinus thrombosis was the result of chronic suppurative otitis media in 7 cases, with 3 patients (42.85%) having cholesteatoma. There were no associated intracranial complications in any of the patients. Two patients (28.57%) underwent medical treatment, and 5 patients (71.43%) had surgical treatment. Aggressive and early surgical intervention treatment was initiated according to evaluation of preoperative findings. The sigmoid sinus was aspirated in three patients. Complete re-canalization or lysis of the thrombus was achieved. Anticoagulant agent was used in 1 patient (14.28%). Six patients (85.82%) presented with the typical lateral sinus thrombosis clinical features, and 1 patient (14.28%) presented with otorrhea solely. Mastoidectomy was undertaken in 5 patients (71.42%) with canal wall up in 2 patients (28.57%) and canal wall down in 2 patients (28.57%). Myringotomy, ventilation tube insertion, and cortical mastoidectomy were done in 1 patient (14.28%).
Conclusions: Early and aggressive surgical intervention of lateral sinus thrombosis otogenic complication can minimize mortality, hospitalization period, and length of medical treatment. High index of suspicion is important.
Mohamed H Alshehabi
King Abdulaziz Medical City, Otorhinolaryngology and Head and Neck Surgery Department, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
|How to cite this article:|
Alshehabi MH, Alqahtani MM, Alsanosi AA, Almazrou KA. Lateral sinus thrombosis in children: Case series.Saudi J Med Med Sci 2014;2:30-36
|How to cite this URL:|
Alshehabi MH, Alqahtani MM, Alsanosi AA, Almazrou KA. Lateral sinus thrombosis in children: Case series. Saudi J Med Med Sci [serial online] 2014 [cited 2021 Feb 27 ];2:30-36
Available from: https://www.sjmms.net/article.asp?issn=1658-631X;year=2014;volume=2;issue=1;spage=30;epage=36;aulast=Alshehabi;type=0