A Complicated Case of CSOM with Sigmoid Sinus Thrombosis

Dr. Seema, Dr. Sana Shayesta Khan, Dr. Shaik Wasim Meera, Dr. Ahmedi Begum, Dr. Imtiaz Ahmed Khan

Abstract: We report a case of sigmoid sinus thrombosis in a clinical setting of Chronic Suppurative Otitis Media (CSOM) in a 16 year old female. She presented with left ear discharge of 7 days duration, associated with left unilateral headache of 1 month duration. Ear Nose and Throat examination revealed total perforation of the tympanic membrane with pinkish mass protruding in the external auditory canal. Further investigations revealed a thrombus (infective) in sigmoid sinus. Left modified radical mastoidectomy was done to completely eradicate the disease and source of infection. The patient was treated with anticoagulants and parenteral antibiotics, based on the culture and sensitivity report. After 5 weeks follow up, patient was found to be asymptomatic.

Keywords: Sigmoid Sinus Thrombosis, Chronic Suppurative Otitis Media, Intracranial complication of CSOM, Mastoiditis