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Cerebral venous sinus thrombosis following jugular bulb decompression
Vinay A Shah1, Grace S Yang, Sandeep Randhawa
1University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1091, USA.
Seminars in Ophthalmology
|March 7, 2006
Summary
A child developed venous thrombosis after jugular bulb surgery, presenting with headache and sixth nerve palsy. Prompt treatment with anticoagulation led to symptom resolution and neurological recovery.
Area of Science:
- Otolaryngology
- Neurology
- Ophthalmology
Background:
- A 7-year-old boy presented with left-sided hearing loss.
- Initial examination revealed a vascular mass behind the tympanic membrane.
Observation:
- Imaging identified a dehiscent high jugular bulb, necessitating surgical decompression.
- Post-surgery, the patient developed headache, diplopia, papilledema, and sixth nerve palsy.
Findings:
- Cranial MRI confirmed thrombosis of the left internal jugular vein, transverse sinus, and sigmoid sinus without cerebral venous infarct.
- The patient was treated with acetazolamide and anticoagulation.
Implications:
- This case represents the first reported instance of venous thrombosis after jugular bulb surgery in the ophthalmologic literature.
- The successful management highlights the importance of vigilant monitoring and timely intervention for venous complications post-surgery.
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