Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 2

Otogenic Sinus Thrombosis with Air Embolism - A Case Report

Andrej Florjan* and Blaž Maver

Department of Otorhinolaryngolgoy and Cervicofacial Surgery, General Hospital Celje, Slovenia

*Corresponding Author: Andrej Florjan, Department of Otorhinolaryngolgoy and Cervicofacial Surgery, General Hospital Celje, Slovenia.

Received: November 24, 2021; Published: January 28, 2022

Abstract

Cerebral venous air embolism (CVAE) is an extremely rare clinical entity, usually associated with certain iatrogenic procedures. To the best of our knowledge there are no reported cases of ear-related cerebral venous air embolism in the up-to-date literature. However, although quite uncommon in the antibiotic era, cerebral venous sinus thrombosis is a well known intracranial complication of otitis media. We are presenting a clinical case of a 53-year-old male patient who was treated at our department and was diagnosed with both of these rare conditions. Possible mechanisms that could contribute to the clinical presentation will be discussed and literature briskly reviewed. As the infections in the head and neck region account for only a minority of all cerebral venous sinus thrombosis (CVST) cases, other risk factors must be taken into consideration.

Keywords: Sinus Thrombosis; Cranial Sinus Thrombosis; Middle Ear Effusion; Air Embolism; Embolism, Gas

References

  1. Harker LA and Clough S. “Complications of temporal bone infections”. In: Cummings C, ed. Otolaryngology Head and Neck Surgery. 4th Philadelphia, PA: Mosby, Inc. (2005).
  2. Johnston DR., et al. “Sigmoid sinus thrombosis as a complication of otitis media”. Otology and Neurotology 7 (2007): 988-989.
  3. Viswanatha B and Naseeruddin K. “Lateral sinus thrombosis in otology: a review”. Mediterranean Journal of Hematology and Infectious Diseases 3 (2010): e2010027.
  4. Ferro JM., et al. “Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT)”. Stroke 3 (2004): 664-670.
  5. Muth CM and Shank ES. “Gas embolism”. The New England Journal of Medicine 7 (2000): 476-482.
  6. Ho AM. “Is emergency thoracotomy always the most appropriate immediate intervention for systemic air embolism after lung trauma?” Chest1 (1999): 234-237.
  7. Giraldo M., et al. “Venous air embolism in neurosurgery”. Colombia Journal of Anesthesiology 43 (2015): 40-44.
  8. Bessereau J., et al. “Long-term outcome of iatrogenic gas embolism”. Intensive Care Medicine7 (2010): 1180-1187.
  9. Linn J., et al. “Noncontrast CT in deep cerebral venous thrombosis and sinus thrombosis: Comparison of its diagnostic value for both entities”. AJNR American Journal of Neuroradiology4 (2009): 728-735.
  10. Costa Carneiro A., et al. “Cerebral Venous Air Embolism: A Rare Phenomenon”. European Journal of Case Reports in Internal Medicine61 (2019): 1.
  11. Schlimp CJ., et al. “Cerebral venous air embolism: what is it and do we know how to deal with it properly?” JAMA Neurology2 (2014): 243.
  12. Schlimp CJ., et al. “The potential of venous air embolism ascending retrograde to the brain”. Journal of Forensic Science4 (2005): 906-909.
  13. Turan A., et al. “A case of lemierre syndrome secondary to otitis media and mastoiditis”. Case Reports in Emergency Medicine 2014 (2014): 208960.
  14. Riordan T. “Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre’s syndrome”. Clinical Microbiology Review4 (2007): 622-659:00011-07.
  15. Shah LM., et al. “Mastoid findings secondary to posterior fossa dural venous sinus thrombosis”. American Journal of Roentgenology 2 (2013): 406-411.

Citation

Citation: Andrej Florjan and Blaž Maver. “Otogenic Sinus Thrombosis with Air Embolism - A Case Report".Acta Scientific Otolaryngology 4.2 (2022): 49-52.

Copyright

Copyright: © 2022 Andrej Florjan and Blaž Maver. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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