Ｓ状静脈洞血栓症を伴った乳様突起炎例

DOI Web Site 参考文献19件
  • 水越 彬文
    平成紫川会社会保険小倉記念病院耳鼻咽喉科・頭頸部外科
  • 平海 晴一
    京都大学大学院医学研究科耳鼻咽喉科・頭頸部外科
  • 山本 典生
    京都大学大学院医学研究科耳鼻咽喉科・頭頸部外科
  • 坂本 達則
    京都大学大学院医学研究科耳鼻咽喉科・頭頸部外科
  • 伊藤 壽一
    京都大学大学院医学研究科耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • Sigmoid Sinus Thrombophlebitis Caused by Acute Mastoiditis
  • 臨床 S状静脈洞血栓症を伴った乳様突起炎例
  • リンショウ Sジョウ ジョウミャクドウ ケッセンショウ オ トモナッタ ニュウヨウ トッキエンレイ

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説明

Mastoiditis is one of common suppurative complications of acute otitis media, which sometimes induces severe intracranial complications. We report on a case of mastoiditis accompanied with sigmoid sinus thrombosis.<br> A 12-year-old girl presented with repeated otalgia and aural discharge in her right ear which had persisted for 2 months. Computed tomography (CT) examination revealed a defect of the lateral wall of the sigmoid sinus with stenosis. The patient underwent total mastoidectomy. She has been alive without neurological manifestations for 7 months, and the sigmoid sinus has been enlarged without anticoagulation therapy.<br> The development of antibiotics has decreased the frequency of mastoiditis, although the mastoiditis without clinical symptoms has been reported in recent years. CT examination is a decisive diagnostic tool to classify the mastoiditis as incipient or coalescent, to detect intracranial complications, and to determine the type of therapy. Thrombophlebitis is one of the life threating intracranial complications of mastoiditis, but if it is localized in only one hemisphere and has no neurological manifestations, it can be followed without surgery.<br>

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