Cerebral venous thrombosis as a complication of acute otitis media

Cerebral venous thrombosis is a rare and exceptional disease. It is a pathology probably underdiagnosed and it should always be included in the differential diagnosis of intracranial hypertension with neurological focality and/or convulsions, especially if there are known risk factors. Radiological images are essential for diagnosis. We present the case of a 5-year-old patient with convergent right eye strabismus of 3 days evolution, in the context of repeated ear otitis partially treated with antibiotherapy. Pathological examination highlighting VI right paresis and a hyperemic homolateral eardrum in otoscopy was found. Complementary tests were normal, except for elevation of the D-dimer. Regarding the radiological images obtained with cerebral magnetic resonance with venous-phase, was confirmed, and had a favourable evolution after receiving prescribed anticoagulant treatment.