Otitic Hydrocephalus Revisited
Arch Neurol. 2005;62:824-825.
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A 10-year-old boy sought care at an emergency department for severe right earache and headache. A computed tomography scan confirmed right mastoiditis and he underwent mastoidectomy. His headaches worsened and 2 weeks later he developed horizontal diplopia. His examination at the time of admission was normal except for bilateral papilledema with hemorrhages around the optic discs (Figure 1). He was uncooperative with visual field testing.
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Figure 1. Fundoscopic image shows papilledema with small hemorrhages near the optic discs.
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Magnetic resonance imaging showed mucosal thickening of the right mastoid area and confirmed thrombosis of the right transverse sinus (Figure 2). Lumbar puncture, done during conscious sedation, confirmed elevated cerebrospinal fluid pressure of 480 mm H 2O. He did not have an underlying coagulation disorder.
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Figure 2. A, Magnetic resonance image (axial T1-weighed sequence) shows right mastoid inflammation (curved arrow) lateral to the thrombus in the right transverse . . . [Full Text of this Article]
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COMMENT
AUTHOR INFORMATION
Lilla Bari;
Rushir Choksi;
E. Steve Roach, MD
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Arch Neurol 2005;62:1940-1940.
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