Dural venous sinus thrombosis secondary to otomastoiditis

Case contributed by Dr Dalia Ibrahim

Presentation

Headache and visual disturbance. She had a history of right ear pain and purulent ear discharge few weeks ago.

Patient Data

Age: 5 years old
Gender: Female

Absence of normal flow void of the right transverse & sigmoid sinuses,

High signal (clot) in the right transverse & sigmoid sinuses on T1, T2 & FLAIR WI., it also shows restricted diffusion.

Abnormal fluid signal in the right mastoid air cells and middle ear cleft. (otomastoiditis)

No evidence of cerebral infarction. 

 

Absent signal of the right transverse and sigmoid sinuses. 

Modality: Annotated image

Absence of normal flow void of the right transverse & sigmoid sinuses, (arrows)

High signal (clot) in the right transverse & sigmoid sinuses on T1, T2 & FLAIR WI., it also shows restricted diffusion. (arrows)

Abnormal fluid signal in the right mastoid air cells and middle ear cleft. (otomastoiditis) (red circles)

Case Discussion

Dural sinus occlusive disease (DSOD) is an infective form of dural sinus thrombosis(thrombophlebitis) commonly seen in the setting of acute otomastoiditis

 

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Case Information

rID: 28971
Case created: 24th Apr 2014
Last edited: 18th May 2017
Inclusion in quiz mode: Included

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