Mastoiditis, Bezold Abscess, Dural Sinus Thrombosis, and Bilateral Abducens Nerve Palsy in a Child with Chronic Suppurative Otitis Media: A Rare Case Report

Angurana, Suresh; Bansal, Arun; Mehta, Ankit; Bansal, Sandeep; Jayashree, Muralidharan

doi:10.22038/ijp.2018.33617.2969

Mastoiditis, Bezold Abscess, Dural Sinus Thrombosis, and Bilateral Abducens Nerve Palsy in a Child with Chronic Suppurative Otitis Media: A Rare Case Report

Authors

Suresh Angurana ¹

Arun Bansal ¹

Ankit Mehta ¹

Sandeep Bansal ²

Muralidharan Jayashree ¹

¹ Department and institute, Department of Pediatrics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India, 160012.

² Departement of Otorhinolaryngology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India, 160012.

10.22038/ijp.2018.33617.2969

Abstract

Chronic suppurative otitis media (CSOM) is a common childhood infectious disease in developing countries. It may be associated with various life threatening intra-cranial or extra-cranial complications. We report a 10 year-male child with a rare combination of right sided unsafe CSOM, mastoiditis, Bezold abscess, sigmoid and transverse sinus thrombosis, and bilateral abducens nerve palsy and he was successfully treated with antibiotics, surgery, and anticoagulation. The combination of CSOM with mastoiditis, Bezold abscess, sigmoid and transverse sinus thrombosis, and bilateral abducens nerve palsy is rare. Aggressive management with prompt antibiotic therapy, surgery, and anticoagulation can lead to favorable outcome.

Keywords

Abducens nerve palsy

Bezold abscess

Child

Chronic suppurative otitis media

Mastoiditis