Cerebral venous sinus thrombosis following jugular bulb decompression

Vinay Shah, Grace Yang, Sandeep Randhawa, Marlan Hansen, Andrew G. Lee

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)41-44
Number of pages4
JournalSeminars in Ophthalmology
Volume21
Issue number1
DOIs
StatePublished - Jan 1 2006

Keywords

  • Jugular bulb
  • Jugular vein
  • Middle ear
  • Papilledema
  • Pseudotumor cerebri
  • Venous sinus thrombosis

ASJC Scopus subject areas

  • Ophthalmology

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