ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2022
The management of elevated intracranial pressure and sinus vein thrombosis associated with mastoiditis: the experience of eighteen patients.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 5 citations in OpenAlex.
- Acute mastoiditis-associated cerebral sinus venous thrombosis in children: a retrospective review.European journal of pediatrics · 2025Article
- Sinus Vein Thrombosis in Pediatric Patients After Acute Mastoiditis.The journal of international advanced otology · 2025Article
- Otogenic Cerebral Sinus Thrombosis in Children: A Narrative Review.Neurology and therapy · 2023Review
- Neuromonitoring in Children with Cerebrovascular Disorders.Neurocritical care · 2023Review
- Optic nerve sheath fenestration for visual impairment in cerebral venous diseases.Frontiers in neurology · 2023Article
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7 authors at 4 institutions in 1 country.
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Abstract
purposeCerebral sinus vein thrombosis (CSVT) associated with acute mastoiditis is a rare complication of acute otitis media. Elevated intracranial pressure (ICP) frequently occurs secondary to CSVT. The study aims to review the 5 years of experience of four medical centres to treat sigmoid sinus thrombosis and elevated intracranial pressure in children.
methodsPatients with CSVT that developed secondary mastoiditis from 2016 through 2021 were evaluated in four centres from Turkey. Patients diagnosed with a preceding or synchronous mastoiditis and intracranial sinus thrombosis were included in the study. Magnetic resonance imaging (MRI), magnetic resonance venography (MRV), ICP measurements, ophthalmological examinations, thrombophilia studies and treatments for increased ICP have also been recorded.
resultsThe study group comprises 18 children. Twelve patients were diagnosed with right-sided, six patients with left-sided sinus vein thrombosis. All of the patients had ipsilateral mastoiditis. The most common presenting symptoms were fever, ear pain, headache, visual disorders and vomiting. The most encountered neurologic findings were papilledema, strabismus and sixth cranial nerve palsy. ICP was over 20 cm H
conclusionElevated ICP can damage the brain and optic nerve irreversibly, without treatment. For treating elevation of ICP associated with cerebral sinus thrombosis, pressure-lowering lumbar puncture (LP), acetazolamide therapy, optic nerve sheath fenestration (ONSF) and cerebrospinal fluid (CSF)-shunting procedures are suggested in case of deteriorated vision.
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