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Lateral sinus thrombosis: a modern perspective

J F Teichgraeber, J H Per-Lee, J S Turner

The Laryngoscope

|July 1, 1982

Summary

This summary is machine-generated.

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Lateral sinus thrombosis (LST) is increasingly seen in adults with chronic ear disease, unlike in children. Early antibiotics and imaging are crucial for managing this serious condition.

Area of Science:

Otolaryngology
Neurology
Infectious Diseases

Background:

Lateral sinus thrombosis (LST) is a rare but serious complication of head and neck infections.
Historically associated with acute otitis media in children, LST's epidemiology has shifted.

Observation:

Over ten years, six LST cases (2 children, 4 adults) were observed.
Adult LST cases often followed chronic ear disease.
Universal signs include fever, mastoid, and neck tenderness; anemia and septic emboli are rare presentations.

Findings:

Antibiotic use alters LST presentation and bacteriology, often yielding negative cultures or mixed flora.
Cerebrospinal fluid findings are variable, rarely showing increased pressure.
Imaging like arteriography, venography, and digital subtraction venography are key diagnostic tools.

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Implications:

Management requires high-dose intravenous antibiotics, including chloramphenicol.
Surgical intervention may involve mastoidectomy and sinus drainage, but thrombus removal is not always necessary.
Internal jugular vein ligation is reserved for refractory septicemia and embolization.