Background: Cerebral venous sinus thrombosis in children is a rare but potentially fatal complication of acute mastoiditis, one of the most common pediatric infectious diseases. Due to its subtle clinical presentation, suspicion is essential for a prompt diagnosis and appropriate management. Unfortunately, no standard treatment options are available. To discuss the possible clinical presentation, microbiology, and management, we here report the case of a child with otogenic cerebral venous sinus thrombosis and perform a literature review starting from 2011. Case presentation: The child, a 10-months-old male, presented clinical signs of right acute otitis media and mastoiditis. Brain computed tomography scan detected right sigmoid and transverse sinus thrombosis, as well as a subperiosteal abscess. Fusobacterium necrophorum and Haemophilus Influentiae were detected on cultural sampling. A multidisciplinary approach along with a combination of medical and surgical therapy allowed the patient's full recovery. Conclusion: Cerebral venous sinus thrombosis is a rare but severe complication of acute otitis media and mastoiditis. The management of this pathological condition is always challenging and an interdisciplinary approach is frequently required. Current therapeutic options include a combination of medical and surgical therapy. A patient-centered approach should guide timing and treatment management.
Pediatric otogenic cerebral venous sinus thrombosis: A case report and a literature review / M.L. Castellazzi, G.M. Di Pietro, M. Gaffuri, S. Torretta, G. Conte, F. Folino, S. Aleo, S. Bosis, P. Marchisio. - In: THE ITALIAN JOURNAL OF PEDIATRICS. - ISSN 1720-8424. - 46:1(2020), pp. 122.1-122.11.
|Titolo:||Pediatric otogenic cerebral venous sinus thrombosis: A case report and a literature review|
|Parole Chiave:||Acute otitis media; Acute mastoiditis; Cerebral venous sinus thrombosis; Fusobacterium necrophorum; Children|
|Settore Scientifico Disciplinare:||Settore MED/38 - Pediatria Generale e Specialistica|
Settore MED/31 - Otorinolaringoiatria
|Data di pubblicazione:||2020|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1186/s13052-020-00882-9|
|Appare nelle tipologie:||01 - Articolo su periodico|
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