Saudi Journal of Medicine and Medical Sciences

: 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

Correspondence Address:
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

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.

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
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