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Pseudomastoiditis in lateral sinus thrombosis: a rare presentation with review of literature

Ramadass Thota1, Nithya Narayanan, Dhanraj Mathuram

  • 1Apollo Hospitals, Chennai, 600 006 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|July 4, 2012
PubMed

Insights

Non-septic lateral sinus thrombosis, often linked to oral contraceptives in females, is rarely seen in males. This study reports an unusual cluster of three male cases presenting with severe headaches and mastoiditis.

Area of Science:

  • Neurology
  • Otolaryngology
  • Radiology

Background:

  • Septic lateral sinus thrombosis (LST) secondary to otitis media is now rare.
  • Non-septic LST, often associated with cortical venous thrombosis, is increasingly recognized, particularly in females using oral contraceptives.
  • Mastoiditis can be a concurrent finding in LST.

Purpose of the Study:

  • To report an uncommon series of three male patients with non-septic LST and mastoiditis.
  • To discuss the etiopathogenesis, diagnostic criteria, and management of this condition.

Main Methods:

  • Case series of three patients presenting with intractable headache.
  • Diagnosis confirmed via magnetic resonance imaging (MRI) and magnetic resonance venogram (MRV).
  • Literature review on non-septic LST with mastoiditis.

Main Results:

  • Three male patients presented with severe headaches.
  • All cases demonstrated non-septic LST with concurrent mastoiditis, predominantly affecting the right mastoid.
  • The presentation within a one-month span was considered unusual.

Conclusions:

  • Non-septic LST with mastoiditis can occur in males, challenging the typical demographic association.
  • Prompt diagnosis using advanced imaging (MRI/MRV) is crucial for effective management.
  • Further research into the etiopathogenesis in diverse populations is warranted.
Keywords:
Cortical venous thrombosisLateral sinus thrombosisMagnetic resonance venogramMastoiditisNonseptic lateral sinus thrombosis

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