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Managements for lateral sinus thrombosis: does it need the ligation of internal jugular vein or anticoagulants?

Authors
Lee, JH; Choi, SJ; Park, K; Choung, YH
Citation
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 266(1):51-58, 2009
Journal Title
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN
0937-44771434-4726
Abstract
The purposes of this study were to review the clinical characteristics and treatment outcomes of patients with lateral sinus thrombosis (LST) and to discuss the need of internal jugular vein (IJV) ligation or anticoagulants. We retrospectively reviewed the charts of five patients (1 male and 4 female) with LST. The chief complaints were otalgia, fever, mastoid tenderness, and neck pain. All patients were confirmatively diagnosed with MRI-Venography or Angio-CT scans. The patients were treated with appropriate antibiotics and operations including mastoidectomies with/without thrombectomy according to their suspected disease course. The authors did not perform IJV ligation and use anticoagulants in all cases, but there were no mortalities or morbidities. IJV ligation and use of anticoagulants do not seem to be essential procedures for the management of LST, and it should be considered carefully according to the extents of disease and the state of patients.
MeSH terms
AdultAgedAnticoagulants/administration & dosage*ChildFemaleFollow-Up StudiesHumansJugular Veins/drug effects*Jugular Veins/surgery*Lateral Sinus Thrombosis/diagnosisLateral Sinus Thrombosis/drug therapy*Lateral Sinus Thrombosis/surgery*Ligation/methodsMagnetic Resonance ImagingMaleMiddle AgedPhlebographyRisk AssessmentSensitivity and SpecificitySeverity of Illness IndexTomography, X-Ray ComputedTreatment Outcome
DOI
10.1007/s00405-008-0724-7
PMID
18535833
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
AJOU Authors
박, 기현정, 연훈
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