Borlingegowda Viswanatha
Accepted Abstracts: Pediatr Therapeut
A retrospective study was undertaken to review the clinical presentation, evaluation, management, and outcome of otogenic lateral sinus thrombosis in children. All pediatric patients with lateral sinus thrombosis seen in our department between 1999 and 2007 were included; there were 9 cases involving 6 boys and 3 girls whose ages ranged from 8 to 12 years. Th ey had all been treated with antibiotics elsewhere prior to admission, and the duration of symptoms before admission ranged from 5 to 18 days. Th e most common presenting symptoms were ear discharge, headache, otalgia, and fever. Radiologic evaluation included computed tomography and magnetic resonance imaging. All patients underwent radical mastoidectomy with incision of the lateral sinus and removal of its content. Th ere were no deaths. Pseudomonas and Proteus species were the most commonly identifi ed organisms. Otogenic lateral sinus thrombosis still poses a serious threat that warrants immediate attention and care. It is oft en associated with other intracranial complications, such as cerebellar abscess. Computed tomography and magnetic resonance imaging play an important role in the management of this disease. Early and aggressive surgical intervention of this otogenic complication can potentially minimize mortality.
