Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature

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 con...

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Autores principales: Abir, Meherzi, Amal, Gdissa, Mouna, Bellakhdher, Malika, Omri, Habiba, Ben Sghaier, Jihen, Houas, Wassim, Kermani, Mohamed, Abdelkefi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587508/
https://www.ncbi.nlm.nih.gov/pubmed/36285027
http://dx.doi.org/10.1002/ccr3.6475
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author Abir, Meherzi
Amal, Gdissa
Mouna, Bellakhdher
Malika, Omri
Habiba, Ben Sghaier
Jihen, Houas
Wassim, Kermani
Mohamed, Abdelkefi
author_facet Abir, Meherzi
Amal, Gdissa
Mouna, Bellakhdher
Malika, Omri
Habiba, Ben Sghaier
Jihen, Houas
Wassim, Kermani
Mohamed, Abdelkefi
author_sort Abir, Meherzi
collection PubMed
description 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.
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spelling pubmed-95875082022-10-24 Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature Abir, Meherzi Amal, Gdissa Mouna, Bellakhdher Malika, Omri Habiba, Ben Sghaier Jihen, Houas Wassim, Kermani Mohamed, Abdelkefi Clin Case Rep Case Report 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. John Wiley and Sons Inc. 2022-10-22 /pmc/articles/PMC9587508/ /pubmed/36285027 http://dx.doi.org/10.1002/ccr3.6475 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Abir, Meherzi
Amal, Gdissa
Mouna, Bellakhdher
Malika, Omri
Habiba, Ben Sghaier
Jihen, Houas
Wassim, Kermani
Mohamed, Abdelkefi
Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587508/
https://www.ncbi.nlm.nih.gov/pubmed/36285027
http://dx.doi.org/10.1002/ccr3.6475
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