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Lateral sinus thrombosis: a sometimes unexpected diagnosis

D B Hawkins

    The Laryngoscope
    |June 1, 1985
    PubMed

    Insights

    Lateral sinus thrombosis, a rare complication of ear infections, can cause septic pulmonary emboli even without obvious symptoms. Suspect this condition in patients with fever, chills, and neck pain.

    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Radiology

    Background:

    • Lateral sinus thrombosis was historically common with ear infections but is now rare.
    • Modern cases typically involve patients with a history of chronic ear infections.

    Observation:

    • Two cases presented with septic pulmonary emboli originating from occult lateral sinus thrombosis.
    • These patients lacked a clear history of chronic ear infection.

    Findings:

    • Septic pulmonary emboli can be the primary manifestation of inapparent lateral sinus thrombosis.
    • Clinical signs like fever, chills, and neck pain warrant suspicion for lateral sinus thrombosis.

    Implications:

    • Clinicians should consider lateral sinus thrombosis in patients with unexplained septic pulmonary emboli.
    • Early diagnosis and treatment are crucial to prevent severe complications.
    • This highlights the importance of vigilance for rare but serious complications of ear infections.

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