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Management of lateral sinus thrombosis: update and literature review
- Source :
- The Journal of Laryngology & Otology. 117:932-939
- Publication Year :
- 2003
- Publisher :
- Cambridge University Press (CUP), 2003.
-
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.
- 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
Subjects
Details
- ISSN :
- 17485460 and 00222151
- Volume :
- 117
- Database :
- OpenAIRE
- Journal :
- The Journal of Laryngology & Otology
- Accession number :
- edsair.doi.dedup.....af303ac39fa25f3c7f04cf557b9c9cd5