Pediatric otogenic cerebral venous sinus thrombosis: a case report and a literature review

Italian Journal of Pediatrics

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