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Cerebral venous sinus thrombosis secondary to tonsillectomy
Yihan Liu1, Jingjing Zhao2, Minwei Zhu1
1Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Auris, Nasus, Larynx
|February 26, 2021
Summary
Cerebral venous sinus thrombosis (CVST) is a rare, high-risk condition. Early diagnosis and treatment of CVST after tonsillectomy can improve patient outcomes.
Area of Science:
- Neurology
- Vascular Surgery
- Anesthesiology
Background:
- Cerebral venous sinus thrombosis (CVST) is a rare but serious condition with a significant mortality rate.
- Prompt diagnosis and treatment, including anticoagulation and thrombolysis, are crucial for improving patient prognosis.
- Tonsillectomy, while common, carries potential perioperative risks, including the rare complication of CVST.
Observation:
- A case report details a young male patient who developed CVST following bilateral tonsillectomy under general anesthesia.
- The patient presented with a headache on the fourth postoperative day, diagnosed via CT and MRI.
- Post-operative pharyngeal pain led to reduced fluid intake (<2000 ml daily), potentially contributing to dehydration.
Findings:
- The patient was diagnosed with cerebral venous sinus thrombosis (CVST) post-tonsillectomy.
- Imaging confirmed the diagnosis, and the patient received appropriate treatment.
- Despite initial challenges with fluid intake due to pain, the patient's prognosis was optimistic after treatment.
Implications:
- This case highlights the importance of considering CVST in patients presenting with neurological symptoms after tonsillectomy.
- Perioperative management of tonsillectomy should address risks such as bacterial infections and dehydration.
- Vigilance for CVST and judicious use of hemostatic agents are recommended in the perioperative care of tonsillectomy patients.
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