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Year : 2013  |  Volume : 19  |  Issue : 2  |  Page : 79-81

Lateral sinus thrombosis in setting of Acute otitis media: An atypical presentation

Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Kapil Sikka
Department of ENT and Head and Neck Surgery, Room No. 4063, 4th Floor, Teaching Block, All India Institute of Medical Sciences, New Delhi 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-7749.113507

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Lateral sinus thrombosis (LST) is a rare complication of Acute Otitis Media and associated mastoiditis. Although, in the era of antibiotics, the presentation may be variable and diagnosis is difficult. High index of suspicion is required to diagnose the atypical presentation. We report an atypical presentation of LST wherein a 12-year-old female presented with sudden onset severe occipital headache following ear syringing. Contrast enhanced computed tomography of temporal bone revealed LST without coalescent mastoiditis. Patient was managed conservatively with intravenous antibiotics and low-dose heparin. The management protocols in such cases are discussed and relevant literature reviewed.

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