Navegando por Palavras-chave "intracranial sinus thrombosis"

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    Presentation, treatment, and clinical course of otogenic lateral sinus thrombosis
    (Taylor & Francis As, 2009-01-01) Penido, Norma de Oliveira [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Inoue, Daniel Paganini [UNIFESP]; Cruz, Oswaldo Laercio Mendonca [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Conclusions. Otogenic lateral sinus thrombosis (OLST) is almost always associated with other complications of chronic otitis media (COM) and did not present a distinct clinical expression. in our experience, OLST exhibits a benign course if the underlying disease is controlled. Mastoidectomy in combination with broad-spectrum antibiotics provided effective treatment. Anticoagulation therapy is no longer used routinely. Recanalization is rare and is independent of the use of anticoagulants. Objectives. This study aimed to contribute to the understanding of the clinical aspects and evolution of OLST. Patients and methods. the study investigated a retrospective case series in a tertiary teaching hospital. From 1993 to 2007, eight cases of OLST were treated. the clinical and imaging data, treatments, and outcomes were analyzed. the follow-up period ranged from a minimum of 6 months to 5 years. Results. in all eight patients, the lateral sinus thrombosis was detected by imaging studies performed to evaluate complications and symptoms related to COM. Fever, headache, and cranial nerve paralysis were the main clinical manifestations associated with coexisting mastoiditis, meningitis, and cerebellar and epidural abscess. We could not identify features specific to lateral sinus thrombosis in any case. All patients underwent mastoidectomy and were given broad-spectrum antibiotics for 2 months. Four cases were anticoagulated and all eight cases experienced complete clinical recovery without sequelae.
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    Trombose do seio sigmóide associada à otite média crônica
    (ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-04-01) Penido, Norma de Oliveira [UNIFESP]; Toledo, Ronaldo Nunes [UNIFESP]; Silveira, Paula Angélica Lorenzon [UNIFESP]; Munhoz, Mário Sérgio Lei [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Cruz, Oswaldo Laércio Mendonça [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Otogenous lateral sinus thrombosis (OLST) is a rare disease and presents a controversial treatment. AIM: Clinical aspects and treatment were reported based on our experience. METHODS: Retrospective study. Six cases of OLST were treated in our institution in the last ten years. Clinical and imaging data were analyzed. RESULTS: All six patients had the lateral sinus thrombosis detected during image evaluation for other symptoms related to chronic otitis media (COM) complications. Fever, headache and facial paralysis were the main clinical manifestation related to mastoiditis, meningitis and cerebellar abscess. We could not identify, in any case, specific features of lateral sinus thrombosis. In all cases a mastoidectomy was associated with large spectrum antibiotics maintained for 3 months. In three cases anticoagulation therapy was introduced and in three cases anticoagulation was not indicated. All cases presented a good clinical evolution, without sequelae. CONCLUSIONS: OLST is almost always associated with other complications of COM. It is diagnosed almost by accident during the investigative image study. We believe such disease is underestimated. In our experience, OLST presents a benign course, and mastoidectomy with antibiotics is the treatment of choice.