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Intracranial and internal jugular vein thrombosis secondary to ENT infections: A report of 3 cases

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October 24, 2013
by Faruque Riffat, BSc(Med), MBBS (Hons); Martin Forer, FRACS; Andrew Wignall, FRACS; David Veivers, FRACS; Nirmal Patel, MS, FRACS


We report 3 cases of rare, life-threatening intracranial and internal jugular vein (IJV) thrombosis that were caused by common ENT infections. These infections included otitis media in a 6-year-old girl, tonsillitis in a 21-year-old woman, and odontogenic sepsis in a 56-year-old woman. All 3 patients were treated with culture-directed systemic antibiotics; 2 of them also required surgical drainage (the child and the older adult). The 2 adults also received therapeutic anticoagulation, which was continued until venous recanalization was documented; the duration of combined antibiotic and anticoagulation treatment was 6 weeks. All 3 patients made uneventful recoveries. Significant morbidities associated with intracranial and IJV thrombosis were avoided as a result of prompt diagnosis and judicious treatment.

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