The role of lumbar puncture and pressure.lowering therapy for transverse dural sinus thrombosis

Joshua Grant; Andrew Carey; Curtis Margo; Murtagh Reed; Mitchell Drucker

doi:10.4103/0976-3147.116435

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Case Report

4 (

Supp 1

); S106-S108

doi:

10.4103/0976-3147.116435

The role of lumbar puncture and pressure.lowering therapy for transverse dural sinus thrombosis

Joshua Grant, Andrew Carey^,, Curtis Margo, Murtagh Reed, Mitchell Drucker

Departments of Ophthalmology and Radiology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA

Dr. Andrew Carey Department of Ophthalmology, USF Morsani College of Medicine 12901 Bruce B. Downs Blvd., MDC 21, Tampa FL USA acarey@health.usf.edu

Journal of Neurosciences in Rural Practice

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Abstract

ABSTRACT

Transverse (lateral) sinus thrombosis is a well-known complication of acute otitis media and mastoiditis in the pediatric and adult population. Thrombosis involving the transverse sinus can ultimately cause elevation of intracranial pressure (ICP) as a result of decreased cerebrospinal fluid absorption. If treatment to lower ICP is not undertaken, it can lead to ophthalmological complications including irreversible vision loss. The following case report describes an 11-year-old girl who was diagnosed with AOM by her pediatrician and subsequently presented to the emergency department complaining of nausea, vomiting, headache, and diplopia.

Keywords

Acute otitis media

cranial nerve VI palsy

diplopia

increased intracranial pressure

sinus thrombosis

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Conflict of Interest

None declared

References

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[1] Smith J. A., Danner C. J., . Complications of chronic otitis media and cholesteatoma. Otolaryngol Clin North Am. 2006;39:1237-55.
[Google Scholar]

[2] Bianchini C, Aimoni C, Ceruti S, Grasso D. L., Martini A, . Lateral sinus thrombosis as a complication of acute mastoiditis. Acta Otorhinolaryngol Ital. 2008;28:30-3.
[Google Scholar]

[3] Lafitte F, Boukobza M, Guichard J. P., Hoeffel C, Reizine D, Ille O, et al . MRI and MRA for diagnosis and follow-up of cerebral venous thrombosis (CVT) Clin Radiol. 1997;52:672-9.
[Google Scholar]

[4] Moreno-Ramos M. D., Rodríguez-Romero R, Piñero-González de la Peña P, Rodríguez-Uranga J, Monreal-Monsalve C, . Noninvasive diagnosis of cerebral venous thrombosis. Radiologia. 2006;48:79-86.
[Google Scholar]

[5] Wasay M, Azeemuddin M, . Neuroimaging of cerebral venous thrombosis. J Neuroimaging. 2005;15:118-28.
[Google Scholar]

[6] Biousse V, Ameri A, Bousser M. G., . Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology. 1999;53:1537-42.
[Google Scholar]

[7] Ferro J. M., Canhão P, Stam J, Bousser M. G., Barinagarrementería F, . ISCVT Investigators. Prognosis of cerebral vein and dural sinus thrombosis: Results of the international study on cerebral vein and dural sinus thrombosis (ISCVT) Stroke. 2004;35:664-70.
[Google Scholar]

[8] Wasay M, Dai A. I., Ansari M, Shaikh Z, Roach E. S., . Cerebral venous sinus thrombosis in children: A multicenter cohort from the United States. J Child Neurol. 2008;23:26-31.
[Google Scholar]

[9] Dlamini N, Billinghurst L, Kirkham F. J., . Cerebral venous sinus (sinovenous) thrombosis in children. Neurosurg Clin N Am. 2010;21:511-27.
[Google Scholar]

[10] Einhäupl K, Stam J, Bousser M. G., De Bruijn S. F., Ferro J. M., Martinelli I, et al . EFNS guideline on the treatment of cerebral venous and sinus thrombosis in adult patients. Eur J Neurol. 2010;17:1229-35.
[Google Scholar]

The role of lumbar puncture and pressure.lowering therapy for transverse dural sinus thrombosis

Abstract

ABSTRACT

Keywords

Acute otitis media

cranial nerve VI palsy

diplopia

increased intracranial pressure

sinus thrombosis

Conflict of Interest

References

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