See K C, Leong J L, Tan H K
National University of Singapore.
Ann Acad Med Singap. 2000 Nov;29(6):753-6.
We portray and discuss a case of lateral sinus thrombosis following acute otitis media and mastoiditis.
The patient presented with otorrhoea, otalgia, neck pain, fever and chills.
Cortical mastoidectomy was performed. Intravenous antibiotics and heparin were administered.
The patient had a complete recovery with no sequelae.
Neurotologic complications of suppurative otitis media like meningitis, cerebral abscess, extradural abscess and dural sinus thrombosis are rare in the antibiotic era. Hence, doctors today have to maintain extra vigilance and a high index of suspicion for such complications.
我们描述并讨论一例急性中耳炎和乳突炎后发生的横窦血栓形成病例。
患者出现耳漏、耳痛、颈部疼痛、发热和寒战。
实施了皮质乳突切除术。给予静脉抗生素和肝素治疗。
患者完全康复，无后遗症。
在抗生素时代，化脓性中耳炎的神经科并发症如脑膜炎、脑脓肿、硬膜外脓肿和硬脑膜窦血栓形成较为罕见。因此，如今的医生必须对此类并发症保持格外警惕并高度怀疑。
