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Pediatric Radiology
Published in: Pediatric Radiology 12/2003

01-12-2003 | Case Report

MRI findings in a child with sigmoid sinus thrombosis following mastoiditis

Authors: Maurice A. A. J. van den Bosch, Jan A. Vos, Marie A. C. J. de Letter, Jacob A. de Ru, Ronnie A. A. M. van Diemen-Steenvoorde, Frans B. Plötz

Published in: Pediatric Radiology | Issue 12/2003

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Abstract

We describe the MRI features of sigmoid sinus thrombosis following mastoiditis in a 3-year-old girl. The features consisted of increased signal from the sinus on T2-weighted images and absence of flow on MR venography. It is concluded that MRI enabled a timely diagnosis of this life-threatening disease. MRI, as a non-invasive technique that does not use ionizing radiation, should be considered the investigation of first choice, especially in young patients.
Literature
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Garcia RD, Baker AS, Cunningham MJ, et al (1995) Lateral sinus thrombosis associated with otitis media and mastoiditis in children. Pediatr Infect Dis J 14:617–623
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DeVeber G, Andrew M, Adams C, et al (2001) Cerebral sinovenous thrombosis in children. N Engl J Med 345:417–423CrossRefPubMed
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Kelly KE, Jackler RK, Dillon WP (1991 Diagnosis of septic sigmoid sinus thrombosis with magnetic resonance imaging. Otolaryngol Head Neck Surg 105:617–624PubMed
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Virapongse C, Cazenave C, Quisling R, et al (1987) The empty delta sign: frequency and significance in 76 cases of dural sinus thrombosis. Radiology 162:779–785PubMed
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Atlas SW, Mark AS, Fram EK, et al (1988) Vascular intracranial lesions: application of gradient-echo MR imaging. Radiology 169:455–461PubMed
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Satoh H, Kumano K, Ogami R, et al (2000) Sigmoid sinus thrombosis after mild closed head injury in an infant: diagnosis by magnetic resonance imaging in the acute phase—case report. Neurol Med Chir 40:361–365
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Davison SP, Facer GW, McGough PF, et al (1997) Use of magnetic resonance imaging and magnetic resonance angiography in diagnosis of sigmoid sinus thrombosis. Ear Nose Throat J 76:436–441PubMed
Metadata
Title
MRI findings in a child with sigmoid sinus thrombosis following mastoiditis
Authors
Maurice A. A. J. van den Bosch
Jan A. Vos
Marie A. C. J. de Letter
Jacob A. de Ru
Ronnie A. A. M. van Diemen-Steenvoorde
Frans B. Plötz
Publication date
01-12-2003
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 12/2003
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-1056-9

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