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Vol. 22 - Num. 88

Clinical Reviews

Cerebral venous thrombosis as a complication of acute otitis media

Andrea Nos Coloma, Jesús García Tenab, Miguel Ángel Edo Pradesc, Vicente Olaya Alamara

aMIR-Pediatría. Hospital General de Castellón. Castellón. España.
bServicio de Pediatría. Hospital General de Castellón. Castellón. España.
cServicio de Radiología. Hospital General de Castellón. Castellón. España.

Correspondence: A Nos. E-mail: andreanos@telefonica.net

Reference of this article: Nos Colom A, García Tena J, Edo Prades MA, Olaya Alamar V. Cerebral venous thrombosis as a complication of acute otitis media. Rev Pediatr Aten Primaria. 2020;22:e203-e206.

Published in Internet: 03-12-2020 - Visits: 320

Abstract

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.

Keywords

Anticoagulation Cerebral venous thrombosis MRI Risk factors

 

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