Related Experiment Video

Updated: Dec 10, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

10.1K

Pediatric otogenic cerebral venous sinus thrombosis: a case report and a literature review

Massimo Luca Castellazzi1, Giada Maria di Pietro2, Michele Gaffuri3

  • 1Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Paediatric Emergency Department, Milan, Italy.

Italian Journal of Pediatrics
|September 5, 2020
PubMed
Abstract

Insights

Cerebral venous sinus thrombosis, a rare complication of childhood mastoiditis, requires prompt diagnosis. Early intervention combining medical and surgical treatments led to a child

Area of Science:

  • Pediatric Infectious Diseases
  • Neurology
  • Otolaryngology

Background:

  • Cerebral venous sinus thrombosis (CVST) is a rare but life-threatening complication of acute mastoiditis in children.
  • Prompt diagnosis is crucial due to subtle clinical presentations and lack of standard treatment protocols.
  • Literature review since 2011 focuses on clinical presentation, microbiology, and management.

Observation:

  • A 10-month-old male presented with acute otitis media and mastoiditis.
  • CT scan revealed thrombosis in the sigmoid and transverse sinuses, along with a subperiosteal abscess.
  • Cultures identified Fusobacterium necrophorum and Haemophilus influenzae.

Findings:

  • The case highlights CVST as a severe complication of otitis media and mastoiditis.
  • Successful management involved a multidisciplinary approach with combined medical and surgical therapies.
  • Patient achieved full recovery.

Implications:

  • Management of pediatric CVST secondary to mastoiditis is challenging and requires interdisciplinary collaboration.
  • Treatment strategies should integrate medical and surgical interventions.
  • A patient-centered approach is essential for guiding treatment timing and management decisions.
Keywords:
Acute mastoiditisAcute otitis mediaCerebral venous sinus thrombosisChildrenFusobacterium necrophorum

More Related Videos

Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy03:13

Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy

Published on: June 28, 2024

1.1K
Establishment of a Rat Model of Superior Sagittal-Sinus Occlusion via a Thread-Embolism Method08:07

Establishment of a Rat Model of Superior Sagittal-Sinus Occlusion via a Thread-Embolism Method

Published on: July 4, 2021

3.9K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
173
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
175
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
114
Veins of Head and Neck01:19

Veins of Head and Neck

The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
4.5K
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
155