Journal article
Cerebral Venous Sinus Thrombosis Following Jugular Bulb Decompression
Seminars in ophthalmology, Vol.21(1), pp.41-44
2006
DOI: 10.1080/08820530500511347
PMID: 16517444
Abstract
A 7-year-old boy was found to have hearing loss on the left side on school screening. On otolaryngology examination he was noted to have a vascular mass behind the tympanic membrane, located inferiorly. Computerized tomography (CT) scan and magnetic resonance imaging (MRI) revealed a dehiscent high jugular bulb. He underwent surgical decompression of the jugular bulb. Two weeks after surgery, he complained of headache and diplopia and was noted to have papilledema and a sixth nerve palsy without visual loss. Cranial MRI scan revealed thrombosis of the left internal jugular vein, transverse and sigmoid sinus. There was no cerebral venous infarct. He was treated with oral acetazolamide and anticoagulation. Two months later he was symptomatically better, neurologically intact with resolved sixth nerve palsy and markedly improved optic disc edema. To our knowledge this is the first reported case of venous thrombosis following jugular bulb surgery in the English language ophthalmologic literature.
Details
- Title: Subtitle
- Cerebral Venous Sinus Thrombosis Following Jugular Bulb Decompression
- Creators
- Vinay A Shah - 1University of Iowa Hospitals and Clinics and the H. Stanley Thompson Neuro-Ophthalmology Clinic, Iowa City, Iowa, USAGrace S Yang - 1University of Iowa Hospitals and Clinics and the H. Stanley Thompson Neuro-Ophthalmology Clinic, Iowa City, Iowa, USASandeep Randhawa - 1University of Iowa Hospitals and Clinics and the H. Stanley Thompson Neuro-Ophthalmology Clinic, Iowa City, Iowa, USAMarlan R Hansen - 1University of Iowa Hospitals and Clinics and the H. Stanley Thompson Neuro-Ophthalmology Clinic, Iowa City, Iowa, USAAndrew G Lee - 1University of Iowa Hospitals and Clinics and the H. Stanley Thompson Neuro-Ophthalmology Clinic, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Seminars in ophthalmology, Vol.21(1), pp.41-44
- Publisher
- Informa UK Ltd
- DOI
- 10.1080/08820530500511347
- PMID
- 16517444
- ISSN
- 0882-0538
- eISSN
- 1744-5205
- Language
- English
- Date published
- 2006
- Academic Unit
- Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology; Ophthalmology and Visual Sciences
- Record Identifier
- 9984006411402771
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