%0 Case Reports
%T Pediatric otogenic cerebral venous sinus thrombosis: a case report and a literature review.
%A Castellazzi ML
%A di Pietro GM
%A Gaffuri M
%A Torretta S
%A Conte G
%A Folino F
%A Aleo S
%A Bosis S
%A Marchisio P
%J Ital J Pediatr
%V 46
%N 1
%D Sep 2020 3
%M 32883359
%F 3.288
%R 10.1186/s13052-020-00882-9
%X <B>BACKGROUND: </B>Cerebral venous sinus thrombosis in children is a rare but potentially fatal complication of acute mastoiditis, one of the most common pediatric infectious diseases. Due to its subtle clinical presentation, suspicion is essential for a prompt diagnosis and appropriate management. Unfortunately, no standard treatment options are available. To discuss the possible clinical presentation, microbiology, and management, we here report the case of a child with otogenic cerebral venous sinus thrombosis and perform a literature review starting from 2011.<BR><B>METHODS: </B>The child, a 10-months-old male, presented clinical signs of right acute otitis media and mastoiditis. Brain computed tomography scan detected right sigmoid and transverse sinus thrombosis, as well as a subperiosteal abscess. Fusobacterium necrophorum and Haemophilus Influentiae were detected on cultural sampling. A multidisciplinary approach along with a combination of medical and surgical therapy allowed the patient's full recovery.<BR><B>CONCLUSIONS: </B>Cerebral venous sinus thrombosis is a rare but severe complication of acute otitis media and mastoiditis. The management of this pathological condition is always challenging and an interdisciplinary approach is frequently required. Current therapeutic options include a combination of medical and surgical therapy. A patient-centered approach should guide timing and treatment management.