Clinical Case Database / Category: Patient Management

Management of an otological emergency: lateral sinus thrombosis

Publication details

J Srinivasan, PM Flanagan
Foundation Years Journal, volume 7, issue 1, p.36 (123Doc Education, London, January 2013)


A thirty four years old man presented with a four weeks history of right ear discharge associated with right otalgia, fever, headache, and neck stiffness. Examination showed slight discharge with an inflamed right ear drum and no neurological signs apart from neck stiffness. A CT scan revealed right transverse sinus thrombosis. He was treated with intravenous antibiotics and heparin. He went on to develop a pyopneumothorax secondary to septic emboli, which was treated successfully. Follow up after several months showed chronic right middle ear disease.

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J Srinivasan


PM Flanagan



1. Browning et al ; Chronic otitis media . In : Gleeson et al, editors . Seventh edition Scott – Brown`s Otorhinolaryngology, Head and Neck Surgery , Volume
3. London : Hodder Arnold ; 2008. p 3395-3445.
2. Robin Youngs : Complications of suppurative otitis media. In : Harold Ludman , Tony Wright , editors. Diseases of the ear, sixth edition. London : Hodder Arnold ; 2006. p 398 -415


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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