Complicated coalescent mastoiditis

Case contributed by Dr Dalia Ibrahim

Presentation

Right ear pain, vomiting and headache.

Patient Data

Age: 32-year-old
Gender: Female
Modality: MRI
  • Right mastoiditis with complete opacification of the mastoid air cells by secretions showing abnormal signal and patchy post contrast enhancement. It also shows small cortical defects.
  • Intracranial extenion showing:
    • Meningeal thickening and enhancement along the tentorial leaflets, the temporal lobe and right cerebellar hemisphere.
    • Loss of normal signal void of the right transverse, sigmoid and examined portion of the right internal jugular vein which post contrast enhancement.
    • Associated right temporal and cerebellar swelling and edema signal.
  • Similar opacfictaion of the left mastoid air cells by abnormal signal and enhancement.
Modality: MRI

Right transverse, sigmoid and internal jugular venous thrombosis evident by loss of their bright signal.

Case Discussion

The case illustrates multiple intra-cranial complications of the acute mastoiditis:

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Case Information

rID: 48459
Case created: 7th Oct 2016
Last edited: 8th Oct 2016
System: Head & Neck
Inclusion in quiz mode: Included

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