Internal jugular vein thrombosis in a case of attico antral disease - a rare presentation in this modern antibiotic era.
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Journal: 2012/November - Indian Journal of Otolaryngology and Head and Neck Surgery
ISSN: 2231-3796
Abstract:
We report a case of Internal Jugular Vein Thrombosis with a long segment thrombus in a clinical setting of attico antral type of Chronic Suppurative Otitis Media (CSOM) in a 20 year male. He presented with hectic rise of temperature with chills & rigor of 7 days duration associated with left ear discharge & throbbing headache of 10 days duration. ENT examination revealed attico antral type of Chronic suppurative Otitis Media with sinus thrombophlebitis. Further investigations revealed a mural thrombus extending from the lower part of Internal Jugular Vein (IJV) till the Torcula Herophili. Left Modified radical mastoidectomy with exposure of transverse & sigmoid sinus was done to completely eradicate the disease and source of infection. The patient was treated with oral anticoagulants and parenteral antibiotics based on the sensitivity report and became asymptomatic after 8 weeks.
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Indian J Otolaryngol Head Neck Surg 60(1): 66-68
PMID: 23120505

Internal jugular vein thrombosis in a case of attico antral disease — a rare presentation in this modern antibiotic era

Abstract

We report a case of Internal Jugular Vein Thrombosis with a long segment thrombus in a clinical setting of attico antral type of Chronic Suppurative Otitis Media (CSOM) in a 20 year male. He presented with hectic rise of temperature with chills & rigor of 7 days duration associated with left ear discharge & throbbing headache of 10 days duration. ENT examination revealed attico antral type of Chronic suppurative Otitis Media with sinus thrombophlebitis. Further investigations revealed a mural thrombus extending from the lower part of Internal Jugular Vein (IJV) till the Torcula Herophili. Left Modified radical mastoidectomy with exposure of transverse & sigmoid sinus was done to completely eradicate the disease and source of infection. The patient was treated with oral anticoagulants and parenteral antibiotics based on the sensitivity report and became asymptomatic after 8 weeks.

Keywords: Internal Jugular Vein Thrombosis, Lateral Sinus Thrombosis, Sigmoid Sinus Thrombosis, Transverse Sinus Thrombosis, Chronic Suppurative Otitis Media, C SOM, Intracranial complication of CSOM, IJV thrombosis

Abstract

We report a case of Internal Jugular Vein Thrombosis with a long segment thrombus in a clinical setting of attico antral type of Chronic Suppurative Otitis Media (CSOM) in a 20 year male. He presented with hectic rise of temperature with chills & rigor of 7 days duration associated with left ear discharge & throbbing headache of 10 days duration. ENT examination revealed attico antral type of Chronic suppurative Otitis Media with sinus thrombophlebitis. Further investigations revealed a mural thrombus extending from the lower part of Internal Jugular Vein (IJV) till the Torcula Herophili. Left Modified radical mastoidectomy with exposure of transverse & sigmoid sinus was done to completely eradicate the disease and source of infection. The patient was treated with oral anticoagulants and parenteral antibiotics based on the sensitivity report and became asymptomatic after 8 weeks.

Keywords: Internal Jugular Vein Thrombosis, Lateral Sinus Thrombosis, Sigmoid Sinus Thrombosis, Transverse Sinus Thrombosis, Chronic Suppurative Otitis Media, C SOM, Intracranial complication of CSOM, IJV thrombosis

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Selected References

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1. Karen L., Stierman M.D., Jeffrey T., Vrabec M.D. Complications of Otitis Media. Grand Rounds: Department of Otolaryngology, UTMB; 1998. [Google Scholar]
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Department of Otorhinolaryngology-Head and Neck Surgery, Sri Ramachandra Medical College & Research Institute, Porur, Chennai, 600 116 Tamil Nadu India
Sanjeev Mohanty, Phone: +91 / 44 / 55465150, Phone: +91 / 9840131091, Fax: +91 / 44 / 24767008, Fax: 24769039, moc.oohay@ytnahomveejnasrd.
Corresponding author.
Copyright © Association of Otolaryngologists of India 2008
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References

  • 1. Karen L., Stierman M.D., Jeffrey T., Vrabec M.D Complications of Otitis Media. Grand Rounds: Department of Otolaryngology, UTMB; 1998. [PubMed][Google Scholar]
  • 2. Kangsanarak JExtracranial & intracranial complications of suppurative otitis media. J laryngol otol. 1993;107(11):999–1004. doi: 10.1017/S0022215100125095.] [[PubMed][Google Scholar]
  • 3. Kelly K.E., Jackler R.K., Dillon W.PDiagnosis of septic sigmoid sinus thrombosis with magnetic resonance imaging. Otolaryngol Head Neck Surg. 1991;105(4):617–624.[PubMed][Google Scholar]
  • 4. Tovi C.TDiagnosis of LST. Ann Otol Rhino Laryngol. 1991;100(1):79–81.[PubMed][Google Scholar]
  • 5. Teichgraeber J.F. LST: a modern perspective laryngoscope. 1982;92(7ptl):744–751.[PubMed]
  • 6. Kimmick HLateral Sinus Thrombosis. Arch otolaryngol. 1958;62:156–159.[PubMed][Google Scholar]
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