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[Destructive mastoiditis with thrombosis of the sigmoid sinus in a 8 year-old child presenting with concomitant

M R Bogomil'skiĭ1, M M Polunin1, A M Ivanenko2

  • 1Kafedra otorinolaringologii pediatricheskogo fakul'teta Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova, Moskva, Rossiia, 117997.

Vestnik Otorinolaringologii
|March 4, 2015
PubMed

Insights

Chickenpox can cause rapid temporal bone destruction and sigmoid sinus thrombosis, mimicking mastoiditis. Urgent surgical intervention, including antromastoidotomy and sinus puncture, is indicated for severe cases.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Radiology

Background:

  • Mastoiditis is an inflammation of the mastoid bone.
  • Chickenpox (varicella) is a common viral infection.
  • Complications of chickenpox can include secondary bacterial infections.

Purpose of the Study:

  • To describe a rare case of mastoiditis with sigmoid sinus thrombosis in a patient with chickenpox.
  • To highlight the atypical presentation and rapid progression of temporal bone destruction.

Main Methods:

  • Case report analysis.
  • Review of clinical presentation and imaging findings.
  • Surgical intervention and outcome assessment.

Main Results:

  • A patient with chickenpox developed mastoiditis with rapid temporal bone destruction.
  • Partial thrombosis of the sigmoid sinus was observed without typical mastoiditis symptoms.
  • Computed tomography (CT) scans revealed significant destructive changes.

Conclusions:

  • Atypical mastoiditis with sigmoid sinus thrombosis can be a complication of chickenpox.
  • Prompt surgical management, including antromastoidotomy and sigmoid sinus puncture, is crucial for favorable outcomes.

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