Subtle imaging signs of sigmoid sinus thrombosis in otitis media (“otitic hydrocephalus”)

Alejandra M. Maiz, MD; Emily Chang, MD; Tatiana K. Deveney, MD; John Kim, MD; Jonathan D. Trobe, MD

Radiology Case Reports (Sep 2023)

Subtle imaging signs of sigmoid sinus thrombosis in otitis media (“otitic hydrocephalus”)

Alejandra M. Maiz, MD,
Emily Chang, MD,
Tatiana K. Deveney, MD,
John Kim, MD,
Jonathan D. Trobe, MD

Affiliations

Alejandra M. Maiz, MD: Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
Emily Chang, MD: Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
Tatiana K. Deveney, MD: Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
John Kim, MD: Department of Radiology (Neuroradiology), University of Michigan, Ann Arbor, MI
Jonathan D. Trobe, MD: Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI; Department of Neurology, University of Michigan, Ann Arbor, MI; Kellogg Eye Center, 1000 Wall St, Ann Arbor, MI 48105, USA; Corresponding author.

Journal volume & issue: Vol. 18, no. 9
pp. 3188 – 3191

Abstract

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A 3-year-old boy developed otitis media, mastoiditis, papilledema, sixth nerve palsy, and increased intracranial pressure. The initial diagnosis was idiopathic intracranial hypertension, but doubt about that diagnosis at such a young age led to imaging reevaluation. When the abnormalities from multiple pulse sequences were aggregated with this clinical input, the correct diagnosis of otitic hydrocephalus emerged, allowing prompt implementation of appropriate treatment to avoid the risk of venous stroke.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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Abstract

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