77 results on '"Otitic hydrocephalus"'
Search Results
2. Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report
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Claudette Gloria Plumo and Emmanuel Tadeus Cruz
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chronic suppurative otitis media ,lateral sinus thrombosis ,otitic hydrocephalus ,mastoidectomy ,ventriculostomy ,Otorhinolaryngology ,RF1-547 - Abstract
Objective: To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management. Methods: Study Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A 35-year-old man was admitted due to intermittent right otorrhea for 20 years and headache for a month. The Glasgow Coma Scale (GCS) score was 12, and mastoidectomy performed on the second hospital day showed cholesteatoma with erosion of the bony covering of the sigmoid sinus with scanty purulent discharge. The GCS improved to 15 few hours post- operatively, however, 24 hours post-operatively, GCS decreased from 15 to 10 and a CT scan showed dilatation of cerebral ventricles and lateral sinus thrombosis which persisted on subsequent imaging studies. His condition deteriorated irreversibly despite a ventriculostomy, and he eventually expired after 3 weeks in the ward. Conclusion: Otitic hydrocephalus due to lateral sinus thrombosis is a serious complication of chronic suppurative otitis media seldom encountered nowadays. In this case, otitic hydrocephalus developed and progressed despite broad spectrum antibiotics, mastoidectomy and a ventricular shunt. This case report underscores the importance of early recognition of warning signs of intracranial complications to institute prompt management.
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- 2022
3. Otický hydrocefalus: vzácná komplikace akutního hnisavého středoušního zánětu.
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Švejdová, A., Mejzlík, J., Dědková, J., and Chrobok, V.
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Otitic hydrocephalus is a rare complication of acute suppurative otitis media. The main symptoms are nausea, vomiting , headache, blurred vision and diplopia. Pathogenetically it is thought to be a complication of acute mastoiditis with lateral (sigmoid) sinus thrombosis causing intracranial hypertension. Diagnosis is suspected upon CT and MRI images, lumbar puncture should be done for confirmation. Treatment includes methods to lower intracranial pressure, surgical treatment of middle ear infection, systemic antibiotic and anticoagulation therapy. We present a 4-year-old boy with otitic hydrocephalus that primarily came for lesion of abducens and oculomotor nerve and headache after treatment of otogenic meningitis. Antromastoidectomy was performed, followed by intravenous antibiotic and anticoagulation therapy. The patient made a fast and complete recovery, the palsy of the eye movement involved nerves recovered completely as well. [ABSTRACT FROM AUTHOR]
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- 2020
4. Subtle imaging signs of sigmoid sinus thrombosis in otitis media ("otitic hydrocephalus").
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Maiz AM, Chang E, Deveney TK, Kim J, and Trobe JD
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A 3-year-old boy developed otitis media, mastoiditis, papilledema, sixth nerve palsy, and increased intracranial pressure. The initial diagnosis was idiopathic intracranial hypertension, but doubt about that diagnosis at such a young age led to imaging reevaluation. When the abnormalities from multiple pulse sequences were aggregated with this clinical input, the correct diagnosis of otitic hydrocephalus emerged, allowing prompt implementation of appropriate treatment to avoid the risk of venous stroke., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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5. The Pseudotumor Cerebri Syndrome: A Unifying Pathophysiological Concept for Patients with Isolated Intracranial Hypertension with Neither Mass Lesion Nor Ventriculomegaly.
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Halmagyi, G. M., Ahmed, R. M., and Johnston, I. H.
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INTRACRANIAL hypertension , *PATHOLOGICAL physiology , *TISSUE wounds , *CEREBROSPINAL fluid , *MECHANISM (Philosophy) - Abstract
In 1991 we proposed that while the syndrome of isolated intracranial hypertension might have many definite and probable causes, it has nonetheless a single unifying pathophysiological mechanism: namely, impairment of cerebrospinal fluid (CSF) reabsorption. For that reason, we also proposed then that it is best described by a single, unifying, inclusive term, namely, pseudotumor cerebri syndrome. Although it appears that there is, as far as nomenclature is concerned, now international agreement, there is as yet no agreement on pathophysiology and classification. Herein we outline our views on these matters and give our reasons. [ABSTRACT FROM AUTHOR]
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- 2014
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6. Otitic hydrocephalus: revisiting an uncommon intracranial complication of a common disease
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Jeyasakthy Saniasiaya, Kuganathan Ramasamy, and Norhaslinda Abdul Gani
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medicine.medical_specialty ,Otorhinolaryngology ,business.industry ,Common disease ,medicine ,Intracranial complication ,business ,Otitic hydrocephalus ,Surgery - Published
- 2020
7. Persistent petrosquamosal sinus: Underlying cause of otitic hydrocephalus with lateral sinus thrombosis.
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Inokuchi, Go, Tsutsumi, Nao, Komatsu, Hirokazu, Fujita, Takeshi, Sawada, Naoki, and Kumoi, Kazuo
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INTRACRANIAL hypertension , *SINUS thrombosis , *MIDDLE ear diseases , *MASTOID process , *INFLAMMATION , *TOMOGRAPHY - Abstract
Abstract: Lateral sinus thrombosis (LST) occurs when a middle ear infection disseminates directly via bone erosion or disseminates indirectly through the venous networks. The petrosquamosal sinus (PSS) is the residual accessory dural sinus connecting intracranial to extracranial drainage. This report describes a case of a patient with persistent PSS running through the mastoid in context of otitic hydrocephalus with LST. To identify PSS, enhanced CT and reconstructed image from CT venography were more useful than MRI. The possibility of persistent PSS running through the mastoid should be considered if LST without marked inflammation and bone erosion is noted. [Copyright &y& Elsevier]
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- 2013
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8. Pediatric otogenic lateral sinus thrombosis: Role of anticoagulation and surgery
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Sitton, Matthew S. and Chun, Robert
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SINUS thrombosis , *ANTICOAGULANTS , *MASTOIDECTOMY , *HEMORRHAGE , *LITERATURE reviews , *RETROSPECTIVE studies - Abstract
Abstract: Objectives: [1.] To discuss the presentation, work up, and treatment of a series pediatric patients presenting with acute otogenic lateral sinus thrombosis (OLST). [2.] To review the literature in discussing surgical treatment and the role of anticoagulation for sinus thrombosis from complicated otomastoiditis. Study design: Retrospective case series. Methods: Retrospective case series of seven patients with otomastoidits and lateral sinus thrombosis were included in the study. Type of anticoagulation used and both clinical and radiographic outcomes were compared. Pediatric literature review was conducted using PubMed search terms “thrombosis and otitis media and anticoagulation” limited to English. Results: Seven patients presented with acute otomastoiditis with sigmoid sinus thrombosis. Six patients were treated with anticoagulation for 1.5–12months. Six patients underwent myringotomy with tube and 4 patients underwent cortical mastoidectomy without thrombectomy. Six patients had resolution of thrombosis by imaging in less than 6months. Literature review of 19 pts with OLST showed that 95% had mastoidectomy and 84% had myrigotomy with tube. All 19 patients received anticoagulation. Sixteen patients had complete clinical recovery with recanalization or resolution of clot in 3 patients. Conclusions: The treatment of OLST is controversial. Most (23/26) patients had complete clinical recovery despite clot resolution in 9 of the 26 patients. Four patients had bleeding complication with anticoagulation. This series and literature review highlights the controversy of surgery and use of anticoagulation in the treatment of OLST and the need for further investigation. [Copyright &y& Elsevier]
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- 2012
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9. Pediatric otogenic lateral sinus thrombosis recanalization
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Neilan, Ryan E., Isaacson, Brandon, Kutz, J. Walter, Lee, Kenneth H., and Roland, Peter S.
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SINUS thrombosis , *FOLLOW-up studies (Medicine) , *NEEDLE biopsy , *VENOGRAPHY , *INTRACRANIAL hypertension , *OTITIS media in children , *ANTICOAGULANTS , *PEDIATRICS - Abstract
Abstract: Objective: To describe the recovery outcomes in pediatric patients with otogenic lateral sinus and internal jugular vein thrombosis. Methods: An inpatient database from a tertiary care pediatric hospital was queried from 1999 to 2010 for the diagnosis code [325] thrombosis of intracranial venous sinus. Demographics, extent of thrombosis, surgical intervention, use of anticoagulation, and the presence of recanalization on follow-up imaging was collected. Results: Fifteen patients (10 male, 5 female) were identified with otogenic lateral sinus thrombosis. Eleven patients (73.3%) had evidence of thrombus in the transverse sinus, while 10 patients (66.7%) had thrombus in the internal jugular vein, and one patient (6.7%) had thrombus in the cavernous sinus. Five patients (33%) had otitic hydrocephalus. Twelve patients (80%) underwent operative manipulation of the lateral sinus including: three decompressions 20%, three needle aspirations 20%, and six venotomies with evacuation of clot or pus 40%. Twelve patients were anticoagulated with low molecular weight heparin, and three patients were not anticoagulated. Ten of fourteen patients (71.4%) who underwent follow-up magnetic resonance venography had evidence of partial (57.1%) or complete (14.3%) recanalization of the lateral sinus. All five patients with otitic hydrocephalus recovered as determined by a normal fundoscopic exam and recovery of abducens paresis. Conclusion: Recanalization of the lateral intracranial venous sinus occurred in the majority of the patients in this series. The role of operative intervention and/or anticoagulation remains unclear. [Copyright &y& Elsevier]
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- 2011
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10. Lateral Sinus Thrombosis as a Complication of Otitis Media: 10-Year Experience at the Children's Hospital of Philadelphia.
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Bales, Christina B., Sobol, Steven, Wetmore, Ralph, and Elden, Lisa M.
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SINUS thrombosis , *OTITIS media , *MEDICAL care , *MASTOIDECTOMY , *INTRACRANIAL pressure , *ENTRAPMENT neuropathies , *TOMOGRAPHY , *ANTIBIOTICS , *VENOGRAPHY , *DIAGNOSIS - Abstract
OBJECTIVES. Lateral sinus thrombosis is a rare intracranial complication of otitis media that is traditionally described in countries with poor access to medical care. Our goal was to describe the clinical presentation, management, and outcome of patients diagnosed with lateral sinus thrombosis in a US tertiary care center and to highlight the clinically relevant differences in presentation between these patients and those described in previous reports. PATIENTS AND METHODS. The medical charts of 13 patients diagnosed with otogenic lateral sinus thrombosis were reviewed. These patients were identified from a manual search of 156 subjects with International Classification of Diseases, Ninth Revision codes corresponding with a diagnosis of mastoiditis or thromboembolism over a 10-year period (1997-2007) at the Children's Hospital of Philadelphia. RESULTS. In contrast to previous reports in the literature, the majority of patients in this series exhibited cranial neuropathies and signs of raised intracranial pressure. Nearly all of the patients had a history of acute otitis media treated with antibiotics in the weeks preceding admission. However, many patients denied high fevers or active otomastoid symptoms, which are classically associated with lateral sinus thrombosis. The diagnosis was made in all of the children by using computed tomography and MRI/venography. Treatment strategies included myringotomy tube placement, simpIe mastoidectomy, intravenous antibiotics, and anticoagulation. Posthospitalization follow-up data revealed no significant long-term complications. CONCLUSIONS. Despite appropriate antibiotic therapy, lateral sinus thrombosis and other intracranial complications of otitis media are still a threat to children in the modern era. Neurologic, rather than otologic, symptoms may dominate the presentation of otogenic lateral sinus thrombosis. Thus, a high index of suspicion may be critical for ensuring timely diagnosis of this rare condition. [ABSTRACT FROM AUTHOR]
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- 2009
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11. Morbid Complications of Otitic Hydrocephalus.
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Durairaj, Vikram D., Andrews, Bradley, Rao, Rumya R., and Chan, Kenny H.
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INTRACRANIAL hypertension , *HYPERTENSION , *RADIOGRAPHY , *HYDROCEPHALUS , *NEUROPATHY - Abstract
Purpose: To report two cases of otitic hydrocephalus with long-term complications. Design Retrospective case reports. Participants: Two patients with otitic hydrocephalus with previously diagnosed otitis media. Methods: Review of clinical history, radiographic findings, medical and surgical management, and follow-up. Results: Two patients with previously diagnosed otitis media presented with otitic hydrocephalus. Both were found to have elevated opening pressures with lumbar puncture and radiographic evidence of sinus thrombosis. Although the patients received appropriate medical and surgical management, they both suffered long-term complications. Patient 1 is dependent on a ventriculoperitoneal shunt to control headaches and has required multiple shunt revisions. Patient 2 is dependent on a ventriculoperitoneal shunt to control headaches and has permanent decreased visual acuity and bilateral optic neuropathy. During her clinical course, she required an optic nerve sheath fenestration. Conclusions: Otitic hydrocephalus can result in permanent vision loss and chronic headaches requiring spinal fluid diversion. We report two cases with morbid complications. A collaborative effort from ophthalmologists, otolaryngologists, and neurosurgeons is recommended to achieve the best clinical outcome. [ABSTRACT FROM AUTHOR]
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- 2008
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12. Otitic hydrocephalus associated with lateral sinus thrombosis and acute mastoiditis in children
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Kuczkowski, Jerzy, Dubaniewicz-Wybieralska, Mirosława, Przewoźny, Tomasz, Narożny, Waldemar, and Mikaszewski, Bogusław
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THROMBOSIS , *BRAIN diseases , *BLOOD coagulation , *HYDROCEPHALUS - Abstract
Summary: The incidence of intracranial complications of acute otitis media (AOM) has decreased and the need for operative and medical treatment is declined during the antibiotic era. To describe pathognomonic signs, evaluation management, operative findings, clinical course and outcome of otitic hydrocephalus and lateral sinus thrombosis as complications of AOM and mastoiditis in pediatric patients. Two children, 9 and 13 years old, with the diagnosis of OH and TK and MRI findings are presented. Intracranial complications in children resulted from unsuccessful treatment of AOM, which led to acute mastoiditis and lateral sinus thrombosis. Both of the presented children had thrombus in their sigmoid sinus preoperatively, demonstarated by MRI, causing decreased blood flow. Both patients underwent a mastoidectomy and delamination of sigmoid sinus with puncture of sinuses. After medical and surgical treatment, blood flow through the sinus increased significantly. In both cases signs of increased intracranial pressure ceased. The clinical presentation of otogenic lateral sinus thrombosis (LST) as a complication of acute otitis media (AOM) can be masked by antibiotic treatment. The episodes of vomiting, headache, visual impairment and a history of AOM seem to be indicative for otitic hydrocephalus. MRI scans of patients with similar symptoms should be carefully studied to facilitate the early diagnosis of dural sinus thrombosis with increased intracranial pressure. Contrast-enhanced computed tomography scan and magnetic resonance imaging play a major role in determining diagnosis and treatment plans in this intracranial complications. Management included systemic antibiotics, short-term heparin anticoagulation and surgical decompression. In our patients intensive i.v. antibiotic treatment, steroids, anticoagulants and surgery led to a significant improvement in the clinical condition. [Copyright &y& Elsevier]
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- 2006
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13. Otitic hydrocephalus: Role of radiology for diagnosis
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Ömer ünal, Faruk, Sennaroğlu, Levent, and Saatçi, Işıl
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ATOMS , *MAGNETIC resonance imaging , *DIAGNOSTIC imaging , *HYDROCEPHALUS - Abstract
Summary: Objective: : The pathogenesis of otitic hydrocephalus remains unclear. The use of radiological examination is very important to clarify both the diagnosis and the pathogenesis. In this article the role of magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) is discussed. Patients: : Two patients with the diagnosis of otitic hydrocephalus and their MRI and MRV findings are presented. Results: : Both of the patients presented had thrombus in their transverse sinuses pre-operatively demonstrated by MRI causing decreased flow on MRV. After the treatment blood flow through the sinus increased significantly as the symptoms subsided. Conclusion: : MRI and MRV are valuable tools for diagnosis and follow-up of otitic hydrocephalus. [Copyright &y& Elsevier]
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- 2005
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14. INTRACRANIAL COMPLICATIONS OF OTITIS MEDIA: IN RETROSPECT.
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Modak, V. B., Chavan, V. R., Borade, V. R., Kotnis, D. P., and Jaiswal, S. J.
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OTITIS media , *INFLAMMATION , *EAR diseases , *DISEASE complications , *INTRACRANIAL hypertension , *SINUS thrombosis - Abstract
Objective: Evaluating intracranial complications of otitis media. Design: An Evaluative study of 106 cases of intracranial complications secondary to otitis media. Intervention: Diagnosis is based on history, clinical exam (general, systemic and ENT), investigations hemogram, X-ray mastoid CT scan brain and mastoid. Treatment: 1. Medical management: a. IV Higher Antibiotics. 2. Surgery for complicating pathology: a. Pus (in Abscesses) - brain canula aspiration, b. Lateral sinus thrombosis (thrombus removal), c. Otitic hydrocephalus (epidural catheterization). 3. Primary disease eradication: a. Exploration of mastoid. Results: Fully recovered patients without residual neurodeficit (85%), Morbidity (6%) CSF otorrhoea secondary to otitic hydrocephalus (9%) Mortality: preoperative (3%) and postoperative (6%). Conclusion: Otological approaches for management of cases of intracranial complications of otitis media are equally comparable with results by neurosurgical approaches of management. Therefore, holding promise if applied in the rural and peripheral parts of India with limited resources even with absence of the expertise of Neurosurgical Department. [ABSTRACT FROM AUTHOR]
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- 2005
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15. Eliminating the Secret Handshake: A Plea for Clarity in Medical Terminology
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E. Steve Roach
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medicine.medical_specialty ,Pseudotumor Cerebri ,Medical terminology ,Handshake ,business.industry ,General surgery ,Otitic hydrocephalus ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Plea ,Developmental Neuroscience ,Neurology ,law ,030225 pediatrics ,Terminology as Topic ,Pediatrics, Perinatology and Child Health ,CLARITY ,Medicine ,Humans ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Published
- 2018
16. Sino-jugular venous graft in otitic hydrocephalus.
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Hitchcock, E. and Cowie, R.
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A case of 'otitic hydrocephalus', or intracranial hypertension secondary to inflammatory thrombosis of the left lateral sinus is described. Persistently elevated intracranial pressure, which did not respond to medical treatment, led to visual deterioration. A venous bypass graft was inserted between the left lateral sinus and jugular vein and was followed by rapid resolution of the raised intracranial pressure. The indications for this procedure are discussed. [ABSTRACT FROM AUTHOR]
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- 1981
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17. Pediatric Otogenic Sigmoid Sinus Thrombosis: Case Report and Literature Reappraisal
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Andrea Scherer and Andrew Jea
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Mastoiditis ,medicine.medical_specialty ,mastoiditis ,Pediatrics ,03 medical and health sciences ,0302 clinical medicine ,Lumbar ,Medicine ,030223 otorhinolaryngology ,Intracranial pressure ,Lateral Sinus Thrombosis ,Sigmoid sinus ,otogenic ,business.industry ,lcsh:RJ1-570 ,otitis media ,lcsh:Pediatrics ,medicine.disease ,Thrombosis ,Antibiotic coverage ,otitic hydrocephalus ,Surgery ,Pediatrics, Perinatology and Child Health ,Original Article ,dural sinus thrombosis ,business ,030217 neurology & neurosurgery ,lateral sinus thrombosis ,External ventricular drain - Abstract
The purpose of this study was to review our experience with a single case of mastoiditis associated with sigmoid sinus thrombosis and increased intracranial pressure, and to review the experience of others through prior publications. We reviewed a case of a 6-year-old boy with an acute otitis media and mastoiditis, with associated ipsilateral sigmoid sinus and contralateral distal transverse sinus thrombosis. Based on the literature and our own experience, we conclude that most children with dural sinus thrombosis from acute otitis media and mastoiditis, in the setting of increased intracranial pressure, attain a good neurological outcome with a conservative neurosurgical approach. The mainstay of treatment seems to be appropriate antibiotic coverage and anticoagulation. Surgeries such as external ventricular drain, serial lumbar punctures, intracranial pressure monitor, and endovascular thrombectomy are reserved for patients with neurological deterioration despite maximal medical treatment.
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- 2017
18. Intra cranial complications of tuberculous otitis media
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M Prakash and J Carlton Johnny
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Pediatrics ,medicine.medical_specialty ,Tuberculosis ,lcsh:Analytical chemistry ,lcsh:RS1-441 ,Bioengineering ,General Biochemistry, Genetics and Molecular Biology ,Tuberculous otitis media ,Otitic hydrocephalus ,Tuberculous meningitis ,Mycobacterium tuberculosis ,lcsh:Pharmacy and materia medica ,Pulmonary tuberculosis ,medicine ,tuberculous otitis media ,General Pharmacology, Toxicology and Pharmaceutics ,Brain abscess ,Medical Science - Review Article ,lcsh:QD71-142 ,biology ,business.industry ,medicine.disease ,biology.organism_classification ,Surgery ,Tuberculoma ,Intra cranial complications ,business - Abstract
Tuberculosis is one of the most common infections in the world. It is seen that tuberculous otitis media (TOM) is almost secondary to pulmonary tuberculosis. In this review we have tried to deal with all the aspects of the intra cranial complications of TOM such as tuberculoma, otitic hydrocephalus, brain abscess and tuberculous meningitis. The aspects covered in this review are the pathology, clinical features, and investigations of the intra cranial manifestations.
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- 2015
19. Pediatric Otitic Hydrocephalus associated with Otogenic Lateral Sinus Thrombosis in Acute Mastoiditis
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Júlio, Sara, Marques, Pedro, Camacho Côrte, Filipa, Faria, Olinda, Cardoso, Eduardo, Santos, Margarida, Júlio, Sara, Marques, Pedro, Camacho Côrte, Filipa, Faria, Olinda, Cardoso, Eduardo, and Santos, Margarida
- Abstract
Introduction: Acute mastoiditis may be associated with intracranial complications such as lateral sinus thrombosis. As a consequence, children may, exceptionally, develop otitic hydrocephalus, presented by symptoms and signs of elevated intracranial pressure. A high clinical suspicion is essential for an early diagnosis, in order to achieve the best clinical outcome. Case Report: A seven-year-old female patient, previously diagnosed with acute otitis media in the right ear, presented with a progressively increasing frontal headache, photophobia and diplopia. A head computed tomography revealed a right ear mastoiditis with lateral sinus thrombosis. Magnetic resonance angiography confirmed an ipsilateral transverse sinus, sigmoid sinus and internal jugular vein thrombosis. Neuro-ophthalmologic examination confirmed bilateral abducens nerve palsy and severe bilateral papilledema, following intracranial hypertension. The patient underwent prompt surgical treatment with myringotomy with transtympanic tube placement and mastoidectomy with perisinus empyema drainage, having started intravenous antibiotic therapy and anticoagulation. After diuretic therapy, systemic steroids and two lumbar punctures the patient had a complete recovery. Discussion: Otitic hydrocephalus is a rare but potentially fatal complication of otitis media. It is associated with cerebral venous thrombosis, therefore a multidisciplinary assessment, involving specialties such as neurology and ophthalmology is essential to evaluate ocular and neurologic symptoms. In the presence of intracranial hypertension, early treatment is critical to improve headache and prevent permanent vision loss., Introdução: A mastoidite aguda pode estar associada a complicações intracranianas como é o caso da trombose do seio lateral. Na sequência desta, excecionalmente, pode desenvolver-se um quadro de hidrocefalia otítica, manifestando-se por sinais e sintomas de hipertensão intracraniana. Um elevado grau de suspeição clínica é essencial para um diagnóstico precoce, de forma a melhorar o prognóstico destes doentes. Caso Clínico: Criança do sexo feminino, de 7 anos de idade, previamente diagnosticada com otite média aguda à direita e que inicia quadro de cefaleias frontais intensas, fotofobia e diplopia. A tomografia computorizada (TC) cerebral revelou otomastoidite com suspeita de trombose do seio lateral. Realizou Angio-Ressonância Magnética (Angio-RM) cerebral que confirmou a presença de trombose da porção distal do seio transverso, seio sigmóide e veia jugular interna. A observação por Oftalmologia e Neurologia Pediátrica confirmou paralisia bilateral do VI par craniano e papiledema bilateral, na sequência de hipertensão intracraniana. Foi submetida a miringotomia com colocação de tubo de ventilação transtimpânico e mastoidectomia simples com drenagem de empiema perisinusal, tendo iniciado antibioterapia endovenosa e hipocoagulação. Após terapêutica diurética, corticoterapia sistémica e duas punções lombares evacuadoras verificou-se uma boa evolução clínica, com recuperação completa. Discussão: A hidrocefalia otítica é uma complicação rara mas potencialmente fatal da otite média. Na presença de trombose venosa cerebral, é essencial uma avaliação multidisciplinar, envolvendo especialidades como Neurologia e Oftalmologia, de forma a avaliar a presença de sintomas oculares e/ou neurológicos. Na presença de hipertensão intracraniana, o tratamento precoce é fundamental para melhorar a cefaleia e prevenir perda de visão permanente.
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- 2017
20. Otitic hydrocephalus.
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Gurung, Urmila, Anurag, Ullah, K S., Shrivastav, R P., and Bhattarai, H
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MIDDLE ear diseases , *INFECTION , *VENOGRAPHY , *DIAGNOSTIC imaging , *THROMBOSIS - Abstract
Otitic hydrocephalus is a rare intracranial complication of middle ear infection. It presents with features of raised intracranial pressure without any neurological deficits. Its exact pathogenesis is still not known but most associate it with lateral sinus thrombosis. Magnetic resonance imaging and Magnetic resonance venography are useful in diagnosis. We present a case of otitic hydrocephalus and discuss its clinical findings, pathogenesis, diagnostic tools, and treatment modalities. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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21. Eliminating the Secret Handshake: A Plea for Clarity in Medical Terminology.
- Author
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Roach, E. Steve
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MEDICAL terminology , *DISEASE nomenclature , *INTRACRANIAL hypertension , *TERMS & phrases - Published
- 2018
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22. Otitic Hydrocephalus: A Report of 2 Cases
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Borlingegowda Viswanatha
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Male ,medicine.medical_specialty ,Neurosurgical Procedures ,Otitic hydrocephalus ,Cerebrospinal fluid ,Intracranial complication ,medicine ,Humans ,Mannitol ,Child ,Intracranial pressure ,Lateral Sinus Thrombosis ,business.industry ,Incidence (epidemiology) ,Diuretics, Osmotic ,Pathophysiology ,Anti-Bacterial Agents ,Surgery ,Otitis Media ,Otitis ,Otorhinolaryngology ,Acute Disease ,Chronic Disease ,Female ,Intracranial Hypertension ,medicine.symptom ,business ,Hydrocephalus ,Papilledema ,FOCAL NEUROLOGIC ABNORMALITY - Abstract
Otitic hydrocephalus is a rare intracranial complication of otitis media. It is characterized by elevated cerebrospinal fluid (CSF) pressure with normal CSF biochemistry and without any focal neurologic abnormality other than those related to the increased intracranial pressure. The pathophysiology of this rare condition is unknown. The incidence of intracranial complications was reduced dramatically with the introduction of newer antibiotics, but complicated cases still occur. Serious consequences can ensue if complications are not identified and treated properly. The author reviews the literature on otitic hydrocephalus and describes 2 new cases.
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- 2010
23. Pediatric otitic hydrocephalus: Report of two unusual cases and literature review.
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Sofokleous V, Chadoulos P, Drakos-Galanis T, Radiotis A, and Psarommatis I
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- Anatomic Variation, Child, Child, Preschool, Diffusion Magnetic Resonance Imaging, Humans, Hydrocephalus diagnostic imaging, Jugular Veins anatomy & histology, Lateral Sinus Thrombosis diagnostic imaging, Male, Otitis Media diagnostic imaging, Photography, Tomography, X-Ray Computed, Cerebral Veins anatomy & histology, Hydrocephalus etiology, Lateral Sinus Thrombosis complications, Otitis Media etiology
- Abstract
Otitic hydrocephalus (OH) comprises a form of benign intracranial hypertension, which is secondary to otogenic lateral sinus thrombosis (LST). Only a small percentage of the patients with otogenic LST go into developing OH, and this may be associated with the multiplicity of anatomic variations of the cerebral venous drainage pathways. We present two pediatric cases of OH, along with a comprehensive review of the relevant literature. Both cases discussed in this article had concomitantly a rather rare anatomical variation; a high-riding, dehiscent jugular bulb, which might have played a role in the development of their clinical syndrome. The pediatric population with this particular imaging finding should receive special attention. Clinical implications of this concurrence are fitly discussed., Competing Interests: Declaration of competing interest None., (Copyright © 2020 Elsevier Inc. All rights reserved.)
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- 2020
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24. A Rare Complication of Acute Otitis Media: Otitic Hydrocephalus
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Ahmet Almaç, Çağlar Buday, Ahmet Mutlu, and Murat Ozturk
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medicine.medical_specialty ,genetic structures ,Acute otitis media ,business.industry ,lcsh:R ,Otitic Hydrocephalus ,lcsh:Medicine ,medicine.disease ,Otitic hydrocephalus ,Surgery ,Hydrocephalus ,Otitis ,medicine ,medicine.symptom ,business ,Complication - Abstract
Acute otitis media is very common disorder in childhood. In this article we present a 6-years old boy who applied with diplopia, dysfunction of lateral eye movements on left eye, nausea, at 10th day of acute otitis media treatment. After the radiological images case was described as an otitic hydrocephalus clinic. Patient underwent medical treatment, lomboperitoneal shunt operation and simple mastoidectomy. We wanted to share the evaluation and the management steps of this very rare complication of acute otitis media.
- Published
- 2013
25. Extra-luminal sigmoid sinus granulation tissue resulting in otitic hydrocephalus
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Andrew K. Johnson and Brandon Isaacson
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Sigmoid sinus ,Mastoiditis ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Granulation tissue ,Mastoidectomy ,medicine.disease ,Thrombosis ,Otitic hydrocephalus ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Otorhinolaryngology ,Pediatrics, Perinatology and Child Health ,medicine ,Right sigmoid sinus ,030223 otorhinolaryngology ,business ,030217 neurology & neurosurgery ,Lateral Sinus Thrombosis - Abstract
Summary A four-year-old male presented to the emergency department with bilateral cranial nerve VI palsy following a failed outpatient course of antibiotics for acute mastoiditis. Imaging revealed a right sigmoid sinus flow defect. Urgent mastoidectomy with removal of the right sigmoid sinus osseous plate was performed. Intraoperatively, extensive granulation tissue was encountered compressing the sinus. The cranial nerve deficit resolved overnight, and follow-up imaging revealed restoration of venous outflow. As a result, the flow void was determined to be a result of compression of the sinus rather than thrombosis, and a prolonged course of systemic anticoagulation was avoided.
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- 2016
26. Management of lateral sinus thrombosis: update and literature review
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Eng H. Ooi, Garrett Hunter, and Malcolm Hilton
- Subjects
Adult ,Male ,medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,Adolescent ,Otitic hydrocephalus ,Sepsis ,Central nervous system disease ,medicine ,Humans ,Lateral Sinus Thrombosis ,Cholesteatoma, Middle Ear ,Vascular disease ,business.industry ,Anticoagulants ,Cholesteatoma ,General Medicine ,medicine.disease ,Thrombosis ,Anti-Bacterial Agents ,Surgery ,Otitis Media ,Treatment Outcome ,Otorhinolaryngology ,Female ,Tomography, X-Ray Computed ,Complication ,business ,Hydrocephalus - Abstract
The management of four cases of lateral sinus thrombosis (LST) over a four-year period at the Royal Darwin Hospital is presented in this retrospective review. The patients were aboriginal and presented with otalgia, otorrhoea and sepsis. Two cases had an associated complication of an otitic hydrocephalus and a subperiosteal abscess. Cholesteatoma was found in three cases. Computed tomography (CT) scan confirmed the LST in three cases. Three patients were anaemic and thrombocytopenic. All patients had positive blood cultures. The organismswere predominantly mixed anaerobes and Bacteroides species. Three patients were managed surgically as a two-stage procedure. One patient was managed as a single-stage procedure with a modified radical mastoidectomy. Therapeutic anticoagulation was utilized in one case. There were no deaths. The prognosis of LST is good if treatment is instituted early with broad-spectrum intravenous antibiotics and surgery. Therole of clot removal at surgery and the use of anticoagulation are discussed in this paper.
- Published
- 2003
27. A Case of Otitic Hydrocephalus Induced by Masked Mastoiditis
- Subjects
Mastoiditis ,medicine.medical_specialty ,medicine.diagnostic_test ,Acute otitis media ,medicine.drug_class ,business.industry ,Antibiotics ,Magnetic resonance imaging ,medicine.disease ,Thrombosis ,Otitic hydrocephalus ,Surgery ,Otitis ,Otorhinolaryngology ,Antibiotic therapy ,medicine ,medicine.symptom ,business - Abstract
The use antibiotics has significantly reduced the complications of acute otitis media. On the other hand, it has altered their clinical picture. Masked mastoiditis is now becoming an important problem, causing severe complications without typical symptoms.We present the case report of a 16-year-old female who developed symptoms of raised intra cranial pressure 3 weeks after an episode of otitis media. Although otoscopy revealed no significant change in her tympanic membrane and there was no otologic symptom, magnetic resonance imaging showed thrombosis in her bilateral lateral sinuses and shadows in her mastoid cells.We considered that the antibiotic therapy caused masked mastoiditis, obscuring typical signs and symptoms of otitic hydrocephalus.
- Published
- 2003
28. Hidrocéfalo ótico secundario a trombosis del seno lateral en niños: Reporte de un caso clínico y revisión de la literatura
- Author
-
Soto Riquelme, I, Sáez Cáceres, E, Ibacache Norambuena, F, and Papuzinski Aguayo, C
- Subjects
complicaciones de la otitis media aguda ,trombosis del seno lateral ,acute otitis media complications ,Otitic hydrocephalus ,Hidrocéfalo ótico ,lateral sinus thrombosis - Abstract
La trombosis del seno lateral es una complicación potencialmente mortal de la otitis media aguda, aunque infrecuente en la actualidad debido al amplio uso de antibióticos. Sus manifestaciones clínicas son habitualmente fiebre, cefalea y otalgia, agregándose vómitos, edema de papila y compromiso del estado general. El examen diagnóstico de elección es la resonancia magnética en fase venosa y el manejo incluye terapia antibiótica endovenosa, miringotomía con instalación de tubo de ventilación y mastoidectomía, asociado o no a anticoagulación. Se reporta el caso de un escolar de 9 años derivado al Hospital Carlos Van Buren con un hidrocéfalo ótico secundario a una trombosis del seno lateral, manejado con terapia antibiótica endovenosa, mastoidectomía simple, miringotomía con instalación de tubos de ventilación y anticoagulación, evolucionando favorablemente con regresión de la sintomatología y recanalización del seno en el control imagenológico. Se realiza una revisión bibliográfica sobre la presentación clínica, diagnóstico y manejo de la trombosis del seno lateral en niños como complicación de la otitis media aguda. Lateral sinus thrombosis (LST) is a potentially life threatening complication of acute otitis media. However, report rates have been decreasing since the spreaded use of antibiotic prescription. Patient developing LST usually complain about fever, headache and ear pain. Consequently, they may develop vomiting, papilledema and unhealthy-ness. Magnetic resonance venography (MRV) is considered the gold standard for LST diagnosis. Management procedures include parenteral antibiotics, myringotomy with tympanostomy tube and mastoidectomy, associated or not with anticoagulant therapy. The present study reports the case of a 9-year-old male referred to the Hospital Carlos Van Buren diagnosed with an otitic hydrocephalus secondary to lateral sinus thrombosis, managed with intravenous antibiotic therapy, simple mastoidectomy, myringotomy with tympanostomy tube placement and anticoagulation. Favorable clinical and imagenologic outcomes were obtained. We provide a brief summary about clinical features, diagnosis and management of the LST in children as a complication of acute otitis media.
- Published
- 2014
29. Index of Suspicion
- Author
-
Kossoff E and Parsons G
- Subjects
medicine.medical_specialty ,Index (economics) ,business.industry ,Pediatrics, Perinatology and Child Health ,Medicine ,Radiology ,business ,Otitic hydrocephalus - Published
- 2000
30. Persistent petrosquamosal sinus: underlying cause of otitic hydrocephalus with lateral sinus thrombosis
- Author
-
Go Inokuchi, Naoki Sawada, Nao Tsutsumi, Hirokazu Komatsu, Kazuo Kumoi, and Takeshi Fujita
- Subjects
musculoskeletal diseases ,Diagnostic Imaging ,Male ,medicine.medical_specialty ,Contrast Media ,Context (language use) ,Cranial Sinuses ,Mastoiditis ,Risk Assessment ,Bone erosion ,Otitic hydrocephalus ,Middle ear infection ,Rare Diseases ,Dural sinus ,Recurrence ,otorhinolaryngologic diseases ,medicine ,Humans ,Sinus (anatomy) ,Lateral Sinus Thrombosis ,business.industry ,Temporal Bone ,General Medicine ,Phlebography ,Magnetic Resonance Imaging ,Middle Ear Ventilation ,Petrosquamous sinus ,Surgery ,Anti-Bacterial Agents ,stomatognathic diseases ,Otitis Media ,medicine.anatomical_structure ,Treatment Outcome ,Otorhinolaryngology ,medicine.vein ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Acute Disease ,Disease Progression ,business ,Tomography, X-Ray Computed ,Follow-Up Studies ,Hydrocephalus - Abstract
Lateral sinus thrombosis (LST) occurs when a middle ear infection disseminates directly via bone erosion or disseminates indirectly through the venous networks. The petrosquamosal sinus (PSS) is the residual accessory dural sinus connecting intracranial to extracranial drainage. This report describes a case of a patient with persistent PSS running through the mastoid in context of otitic hydrocephalus with LST. To identify PSS, enhanced CT and reconstructed image from CT venography were more useful than MRI. The possibility of persistent PSS running through the mastoid should be considered if LST without marked inflammation and bone erosion is noted.
- Published
- 2013
31. Pathogenesis of otitic hydrocephalus: Clinical evidence in support of Symonds' (1937) theory
- Author
-
Derald E. Brackmann, Karen Jo Doyle, and James R. House
- Subjects
Adult ,Male ,Pathology ,medicine.medical_specialty ,business.industry ,Hearing Loss, Sensorineural ,Otitic hydrocephalus ,Pathogenesis ,03 medical and health sciences ,Otitis Media ,Sinus Thrombosis, Intracranial ,Tinnitus ,0302 clinical medicine ,Otorhinolaryngology ,Clinical evidence ,030220 oncology & carcinogenesis ,medicine ,Humans ,Surgery ,030223 otorhinolaryngology ,business ,Hydrocephalus ,Papilledema - Published
- 1994
32. Decisions regarding intracranial complications from acute mastoiditis in children
- Author
-
Susan Blaser, Blake C. Papsin, and Alexander J. Osborn
- Subjects
Diagnostic Imaging ,medicine.medical_specialty ,Decision Making ,Brain Abscess ,Mastoiditis ,Otitic hydrocephalus ,Diagnosis, Differential ,Sinus Thrombosis, Intracranial ,Medicine ,Sinus thrombosis ,Humans ,Meningitis ,Child ,Sigmoid sinus ,business.industry ,Intracranial abscess ,medicine.disease ,Thrombosis ,Combined Modality Therapy ,Surgery ,Acute mastoiditis ,Otorhinolaryngology ,Acute Disease ,business ,Algorithms ,Hydrocephalus - Abstract
To review the clinical findings and treatment algorithms for intracranial complications of acute mastoiditis, such as sigmoid sinus thrombosis, otitic hydrocephalus, intracranial abscess, and otitic meningitis. We also briefly discuss the clinical sequelae of these complications.Recent changes in the microbiology and treatment paradigms of otitis media have the potential to influence the rates of intracranial complications of mastoiditis; however, evidence supporting a resultant increase in the rates of these complications is lacking.Antibiotic therapy and myringotomy with ventilation tube placement, with or without mastoidectomy, are the mainstays of treatment for intracranial complications of acute mastoiditis. Adjunct treatment, such as anticoagulation for sigmoid sinus thrombosis, is often used; however, the rarity of these complications makes establishing appropriate levels of evidence to support their use difficult.
- Published
- 2011
33. OTITIC HYDROCEPHALUS: A REPORT OF THREE CASES
- Author
-
C. P. Symonds
- Subjects
Text mining ,Information retrieval ,business.industry ,General Engineering ,General Earth and Planetary Sciences ,Medicine ,General Medicine ,Articles ,business ,Otitic hydrocephalus ,General Environmental Science - Published
- 2010
34. Otitic hydrocephalus: case report and literature review
- Author
-
Payman Dabirmoghaddam and Mahmood Sadoghi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cholesteatoma, Middle Ear ,Lateral Sinus Thrombosis ,business.industry ,Cholesteatoma ,Suction ,medicine.disease ,Otitic hydrocephalus ,Surgery ,Anti-Bacterial Agents ,Central nervous system disease ,Otitis Media ,Otitis ,Otorhinolaryngology ,Neurologic abnormalities ,medicine ,Humans ,Elevated Intracranial Pressure ,medicine.symptom ,business ,Hydrocephalus - Abstract
Otitic hydrocephalus is characterized by elevated intracranial pressure without focal neurologic abnormalities. The pathogenesis of otitic hydrocephalus remains unclear, but it usually occurs secondary to lateral sinus thrombosis. With the advent of new antibiotics, there has been a spectacular decrease in the complications of otitis media. Otogenic intracranial hypertension, always an uncommon condition, is seen only very rarely nowadays. Here we present a case of otitic hydrocephalus and discuss about its pathophysiology, clinical findings, and treatment.
- Published
- 2006
35. Otitic hydrocephalus revisited
- Author
-
Lilla Bari, Rushir Choksi, and E. Steve Roach
- Subjects
Male ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,medicine.disease ,Magnetic Resonance Imaging ,Otitic hydrocephalus ,Hydrocephalus ,Central nervous system disease ,Otitis Media ,Arts and Humanities (miscellaneous) ,medicine ,Humans ,Neurology (clinical) ,Radiology ,medicine.symptom ,Visual Fields ,Papilledema ,business ,Child - Published
- 2005
36. Intracranial complications of otitis media: In retrospect
- Author
-
V. B. Modak, S. J. Jaiswal, V. R. Chavan, V. R. Borade, and D. P. Kotnis
- Subjects
medicine.medical_specialty ,Pathology ,medicine.diagnostic_test ,business.industry ,Clinical exam ,Computed tomography ,Otitic hydrocephalus ,Surgery ,Otitis ,Otorhinolaryngology ,Medicine ,medicine.symptom ,business ,Neurosurgical department ,Limited resources ,Lateral Sinus Thrombosis ,Main Article - Abstract
Evaluating intracranial complications of otitis media. An Evaluative study of 106 cases of intracranial complications secondary to otitis media. Diagnosis is based on history, clinical exam (general, systemic and ENT), investigations hemogram, X-ray mastoid CT scan brain and mastoid. Fully recovered patients without residual neurodeficit (85%), Morbidity (6%) CSF otorrhoea secondary to otitic hydrocephalus (9%) Mortality: preoperative (3%) and postoperative (6%). Otological approaches for management of cases of intracranial complications of otitis media are equally comparable with results by neurosurgical approaches of management. Therefore, holding promise if applied in the rural and peripheral parts of India with limited resources even with absence of the expertise of Neurosurgical Department.
- Published
- 2005
37. Pediatric Otogenic Sigmoid Sinus Thrombosis: Case Report and Literature Reappraisal.
- Author
-
Scherer A and Jea A
- Abstract
The purpose of this study was to review our experience with a single case of mastoiditis associated with sigmoid sinus thrombosis and increased intracranial pressure, and to review the experience of others through prior publications. We reviewed a case of a 6-year-old boy with an acute otitis media and mastoiditis, with associated ipsilateral sigmoid sinus and contralateral distal transverse sinus thrombosis. Based on the literature and our own experience, we conclude that most children with dural sinus thrombosis from acute otitis media and mastoiditis, in the setting of increased intracranial pressure, attain a good neurological outcome with a conservative neurosurgical approach. The mainstay of treatment seems to be appropriate antibiotic coverage and anticoagulation. Surgeries such as external ventricular drain, serial lumbar punctures, intracranial pressure monitor, and endovascular thrombectomy are reserved for patients with neurological deterioration despite maximal medical treatment., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2017
- Full Text
- View/download PDF
38. Acute otitis media causing visual loss: A case report and review of the literature
- Author
-
A. Al-Rikabi, Sandeep Berry, Ben Stew, Peter M. Johnson, and Julia Addams-Williams
- Subjects
Sigmoid sinus ,medicine.medical_specialty ,Acute otitis media ,business.industry ,Incidence (epidemiology) ,medicine.medical_treatment ,Mastoidectomy ,medicine.disease ,Thrombosis ,Otitic hydrocephalus ,Pathophysiology ,Surgery ,Hydrocephalus ,Otorhinolaryngology ,Pediatrics, Perinatology and Child Health ,otorhinolaryngologic diseases ,medicine ,business - Abstract
Acute otitis media (AOM) is usually self-limiting condition mainly affecting children. It may be complicated by rare but serious intra and extra cranial complications. Otitic hydrocephalus (OH) was described in 1936 by Sir Charles P. Symonds. The accepted pathophysiology is lateral cerebral sinus obliteration secondary to thrombosis and subsequent intracranial hypertension occurring after AOM. There are no clinical or serological features of meningeal irritation and no radiological features of hydrocephalus. The use of antibiotics has reduced the incidence of these complications. We report a case of permanent, bilateral visual loss secondary to AOM in an 11-year-old boy [1,2].
- Published
- 2012
39. Otitic hydrocephalus of tubercular origin: a rare cause
- Author
-
Ashwin Dwivedi, Ritu Agarwal, Rohan Walvekar, Bachi T. Hathiram, and D. S. Grewal
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Otitis Media, Suppurative ,Otitic hydrocephalus ,Central nervous system disease ,medicine ,Humans ,Tuberculosis ,Child ,Lateral Sinus Thrombosis ,business.industry ,Middle ear disease ,General Medicine ,medicine.disease ,Surgery ,Hydrocephalus ,Otitis ,Otorhinolaryngology ,Etiology ,Neurological dysfunction ,Female ,medicine.symptom ,business ,Tomography, X-Ray Computed - Abstract
Otitic hydrocephalus is characterized by increased intra – cranial pressure without focal signs of neurological dysfunction. It usually occurs secondary to lateral sinus thrombosis more commonly on the right side, but it can also occur without lateral sinus thrombosis. With the advent of new antibiotics there has been a spectacular decrease in the complications of otitis media. Otogenic intra – cranial hypertension, always an uncommon condition, is seen only very rarely nowadays. Tubercular otitis media still occurs in India, and due to delays in its diagnosis it usually presents with complications. We present three patients with otitic hydrocephalus of tubercular origin.
- Published
- 2001
40. Otitic hydrocephalus-A rare complication of CSOM: REPLY
- Author
-
A K Mehta
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,Medicine ,General Medicine ,business ,Complication ,Letters to the Editor ,Otitic hydrocephalus - Published
- 1999
41. Acute otitis media causing visual loss: A case report and review of the literature.
- Author
-
Al-Rikabi, Ali K., Stew, Ben, Addams-Williams, Julia, Johnson, Peter, and Berry, Sandeep
- Subjects
VISION disorders in children ,ACUTE otitis media ,DISEASE complications ,INTRACRANIAL hypertension ,PATHOLOGICAL physiology ,CRANIAL sinuses ,SEROLOGY ,THROMBOSIS - Abstract
Abstract: Acute otitis media (AOM) is usually self-limiting condition mainly affecting children. It may be complicated by rare but serious intra and extra cranial complications. Otitic hydrocephalus (OH) was described in 1936 by Sir Charles P. Symonds. The accepted pathophysiology is lateral cerebral sinus obliteration secondary to thrombosis and subsequent intracranial hypertension occurring after AOM. There are no clinical or serological features of meningeal irritation and no radiological features of hydrocephalus. The use of antibiotics has reduced the incidence of these complications. We report a case of permanent, bilateral visual loss secondary to AOM in an 11-year-old boy . [Copyright &y& Elsevier]
- Published
- 2012
- Full Text
- View/download PDF
42. Diagnosis and management of otitic hydrocephalus
- Author
-
Jerzy Kuczkowski, Waldemar Narozny, and Bogusław Mikaszewski
- Subjects
medicine.medical_specialty ,Middle ear ventilation ,business.industry ,Treatment outcome ,Follow up studies ,medicine.disease ,Otitic hydrocephalus ,Hydrocephalus ,Surgery ,Chronic disease ,Otorhinolaryngology ,medicine ,business ,Lateral Sinus Thrombosis - Published
- 2009
43. OTITIC HYDROCEPHALUS - A RARE COMPLICATION OF CSOM
- Author
-
Mehta Ak and Singh Vk
- Subjects
medicine.medical_specialty ,business.industry ,medicine ,General Medicine ,Complication ,business ,Otitic hydrocephalus ,Surgery - Published
- 1999
44. Otitic Hydrocephalus—Reply
- Author
-
E. S. Roach
- Subjects
medicine.medical_specialty ,Arts and Humanities (miscellaneous) ,business.industry ,medicine ,Neurology (clinical) ,business ,medicine.disease ,Otitic hydrocephalus ,Surgery ,Hydrocephalus - Published
- 2005
45. Otitic hydrocephalus-A rare complication of CSOM
- Author
-
Hariqbal Singh
- Subjects
medicine.medical_specialty ,business.industry ,Medicine ,General Medicine ,Letters to the Editor ,business ,Complication ,Otitic hydrocephalus ,Surgery - Published
- 1999
46. The definition of a reduced CSF absorption syndrome: A reapraisal of benign intracranial heperetension and related conditions
- Author
-
Ian H. Johnston
- Subjects
medicine.medical_specialty ,Pathology ,Intracranial Pressure ,Brain Edema ,Gastroenterology ,Otitic hydrocephalus ,Dogs ,Cerebrospinal fluid ,Internal medicine ,medicine ,Animals ,Humans ,Cerebrospinal Fluid ,Pseudotumor Cerebri ,Blood Volume ,business.industry ,REDUCED CSF ABSORPTION SYNDROME ,Csf absorption ,Brain ,Biological Transport ,General Medicine ,medicine.anatomical_structure ,Clinical evidence ,Etiology ,Pseudotumour cerebri ,Subarachnoid space ,business - Abstract
A reduced cerebrospinal fluid (CSF) absorption syndrome has been defined by considering the factors controlling CSF absorption, the pressure gradient between the subarachnoid space and the superior sagittal simus (P csf − P ss ), and the resistance to flow across the absorptive channels (R av ). The hypothesis is advanced that this represents the underlying defect in the syndrome previously described by various terms including benign intracranial hypertension, pseudotumour cerebri, otitic hydrocephalus and others. The clinical evidence is reviewed and appears to favour an increase in CSF volume secondary to impaired absorption as the cause of the intracranial hypertension in this syndrome. In addition, known aetiological agents have been shown experimentally to cause significant reductions in CSF absorption. Clinically the syndrome may be produced by any factor which increases either P ss or R av . If this hypothesis is confirmed by further clinical and experimental studies it is suggested that the general term ‘reduced CSF absorption syndrome' should replace ‘benign intracranial hypertension' and similar terms.
- Published
- 1975
47. Otogenic intracranial hypertension
- Author
-
A. F. F. O'Connor and D. A. Moffat
- Subjects
Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Pseudotumor cerebri ,Mastoid ,Otitic hydrocephalus ,Humans ,Medicine ,Mastoid surgery ,Fluorescein Angiography ,Child ,Papilledema ,Pseudotumor Cerebri ,business.industry ,General Medicine ,medicine.disease ,Otitis Media ,Otitis ,Otorhinolaryngology ,Female ,medicine.symptom ,Differential diagnosis ,business ,Complication - Abstract
Otogenic intracranial hypertension is a rare complication of suppurative otitis media. Two patients with the typical features of the disease are presented. An historical review of the literature on the subject and a discussion of the differential diagnosis have been carried out. In the light of recent neuro-otological advances the management has been reappraised.
- Published
- 1978
48. Sino-jugular venous graft in otitic hydrocephalus
- Author
-
R. A. Cowie and E. R. Hitchcock
- Subjects
Male ,medicine.medical_specialty ,Neurology ,medicine.medical_treatment ,Cranial Sinuses ,Revascularization ,Otitic hydrocephalus ,Sinus Thrombosis, Intracranial ,Jugular vein ,medicine ,Humans ,Saphenous Vein ,Child ,Neuroradiology ,Lateral Sinus Thrombosis ,Cerebral Revascularization ,medicine.diagnostic_test ,business.industry ,Interventional radiology ,Surgery ,Otitis Media ,Anesthesia ,Neurology (clinical) ,Neurosurgery ,Jugular Veins ,business ,Hydrocephalus - Abstract
A case of “otitic hydrocephalus”, or intracranial hypertension secondary to inflammatory thrombosis of the left lateral sinus is described. Persistently elevated intracranial pressure, which did not respond to medical treatment, led to visual deterioration. A venous bypass graft was inserted between the left lateral sinus and jugular vein and was followed by rapid resolution of the raised intracranial pressure. The indications for this procedure are discussed.
- Published
- 1981
49. OTOGENIC ASPECTS OF ARACHNOIDITIS
- Author
-
S. L. Shapiro
- Subjects
medicine.medical_specialty ,business.industry ,General Medicine ,medicine.disease ,Otitic hydrocephalus ,Surgery ,Cerebrospinal fluid ,Otorhinolaryngology ,medicine ,Arachnoiditis ,business ,Complication ,Surgical treatment ,Meningitis ,Simple (philosophy) - Abstract
Among the more unusual neurologic conditions which may concern the otologist are certain abnormal accumulations of cerebrospinal fluid variously termed "meningitis serosa circumscripta," 1 "meningeal hydrops," 2 "otitic hydrocephalus" 3 and "arachnoiditis." 4 The cases recorded in the literature, although showing considerable variation as to the origin, course and symptoms of the condition, nevertheless have certain points in common. The clinical picture as a rule suggests some serious intracranial condition or complication, demanding surgical treatment. There is uniformly evidence of increased pressure; the cerebrospinal fluid either is normal or shows only a mild meningitic reaction, while the simple relief of pressure either by operation or through other means generally effects a rapid and permanent cure. While the pathogenesis is by no means clear in every case, the majority of those observations which were made at operation or after histologic study indicated changes in the arachnoid membrane. The term arachnoiditis will therefore be used as
- Published
- 1938
50. A Case of Otitic Hydrocephalus
- Author
-
R. J. Martin
- Subjects
medicine.medical_specialty ,business.industry ,General Medicine ,medicine.disease ,Otitic hydrocephalus ,Surgery ,Hydrocephalus ,Otitis Media ,Otorhinolaryngology ,medicine ,Humans ,Ear Diseases ,business - Published
- 1953
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