Thota Ramadass, Narayanan Nithya, Mathuram Dhanraj
Apollo Hospitals, Chennai, 600 006 India.
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(Suppl 1):135-9. doi: 10.1007/s12070-011-0199-5. Epub 2011 Apr 11.
Lateral sinus thrombosis due to mastoiditis, is now a relic of the past. Gone are the days when septic lateral sinus thrombosis was a common complication of unsafe suppurative otitis media. In the present era, the neurologists more commonly see cortical venous thrombosis with lateral sinus thrombosis. This entity has been termed as non-septic lateral sinus thrombosis in literature. The incidence is found to be more in females due to the use of oral contraceptives (Rosen and Scher in Laryngoscope 107(5):680-683, 1). In this manuscript, we report a series of three cases of non-septic lateral sinus thrombosis with mastoiditis, seen in a span of 1 month, which is uncommon. All the patients presented to the neurologist with intractable headache and lateral sinus thrombosis with mastoiditis, was detected by magnetic resonance imaging and magnetic resonance venogram. All the three patients were males and had involvement of the right mastoid in magnetic resonance imaging pictures. We have reviewed the literature and discussed about the etiopathogenesis, diagnostic criteria and management.
因乳突炎导致的外侧窦血栓形成，如今已成为过去式。化脓性外侧窦血栓曾是不安全的化脓性中耳炎常见并发症的日子一去不复返了。在当今时代，神经科医生更常遇到的是伴有外侧窦血栓形成的皮质静脉血栓形成。在文献中，这种情况被称为非化脓性外侧窦血栓形成。由于口服避孕药的使用，女性中的发病率更高（Rosen和Scher，《喉镜》107(5):680 - 683，1）。在本手稿中，我们报告了在1个月内见到的一系列3例伴有乳突炎的非化脓性外侧窦血栓形成病例，这并不常见。所有患者均因顽固性头痛就诊于神经科医生，通过磁共振成像和磁共振静脉造影检测出伴有乳突炎的外侧窦血栓形成。所有3例患者均为男性，磁共振成像图片显示右侧乳突受累。我们回顾了文献并讨论了其病因病机、诊断标准和治疗方法。
