Italian Journal of Pediatrics | |
Pediatric otogenic cerebral venous sinus thrombosis: a case report and a literature review | |
Sara Torretta1  Michele Gaffuri1  Giorgio Conte2  Massimo Luca Castellazzi3  Samantha Bosis4  Sebastiano Aleo4  Paola Marchisio4  Francesco Folino5  Giada Maria di Pietro5  | |
[1] Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Department of Otolaryngology and Head and Neck Surgery and Department of Clinical Sciences and Community Health, University of Milan;Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Neuroradiology Unit;Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Paediatric Emergency Department;Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Paediatric Highly Intensive Care Unit;University of Milan; | |
关键词: Acute otitis media; Acute mastoiditis; Cerebral venous sinus thrombosis; Fusobacterium necrophorum; Children; | |
DOI : 10.1186/s13052-020-00882-9 | |
来源: DOAJ |
【 摘 要 】
Abstract 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.
【 授权许可】
Unknown