Epidural Abscess Masquerading as Lateral Sinus Thrombosis
| Autor: | Ronald G. Amedee, David Brodner, Gerard J. Gianoli, Jeff Cutler |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Mastoiditis
medicine.medical_specialty medicine.diagnostic_test Medical treatment Epidural abscess business.industry Magnetic resonance imaging Case Reports medicine.disease Surgery medicine.anatomical_structure Radiological weapon medicine Neurology (clinical) business Sinus (anatomy) Preoperative imaging Lateral Sinus Thrombosis |
| Zdroj: | Skull Base Surgery. 10:0201-0206 |
| ISSN: | 1098-9072 1052-1453 |
| DOI: | 10.1055/s-2000-9336 |
| Popis: | Controversy regarding the use of anticoagulants, the evacuation of the sinus, or the use of medical treatment alone surrounds the treatment of lateral sinus thrombosis. Treatment of an epidural abscess associated with coalescent mastoiditis is much less controversial-drainage is usually recommended. The differing treatments of these complications mandate accurate diagnosis. The advent of more sophisticated radiological studies has facilitated diagnosis of these complications; however, tests are not infallible. We present three cases in which preoperative imaging demonstrates an epidural abscess mimicking lateral sinus thrombosis by compression of the vessel. A false-positive computed tomography (CT) or magnetic resonance imaging (MRI) study may lead to the wrong diagnosis and, consequently, improper treatment. In light of this possibility, we recommend surgical exploration in all such cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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