Surgical management of raised intracranial pressure secondary to otogenic infection and venous sinus thrombosis

Bevan, Rhian, Patel, Chirag, Bhatti, Imran, te Water Naude, Johann, Gibbon, Frances and Leach, Paul 2020. Surgical management of raised intracranial pressure secondary to otogenic infection and venous sinus thrombosis. Child's Nervous System 36 (2) , pp. 349-351. 10.1007/s00381-019-04353-3

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Abstract

Purpose This study reviews paediatric patients with raised intracranial pressure as a result of venous sinus thrombosis secondary to otogenic mastoiditis, requiring admission to the paediatric neuroscience centre at the University Hospital Wales, Cardiff. The consensus regarding the management of otogenic hydrocephalus in the published literature is inconsistent, with a trend towards conservative over surgical management. We reviewed our management of this condition over a 9-year period especially with regard to ventriculo-peritoneal (VP) shunting. Methods Analysis of a prospectively collected database of paediatric surgical patients was analysed and patients diagnosed with otogenic hydrocephalus from November 2010 to August 2018 were identified. Our data was compared with the published literature on this condition. Results Eleven children, 7 males and 4 females, were diagnosed with otogenic hydrocephalus over the 9-year period. Five (45.5%) required VP shunt insertion to manage their intracranial pressure and protect their vision. The remaining six patients (54.5%) were managed medically. Conclusions When children with mastoiditis and venous sinus thrombosis progress to having symptoms or signs of raised intracranial pressure, they should ideally be managed within a neuroscience centre. Of those children, almost half will need permanent cerebrospinal fluid diversion to protect their sight.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Springer
ISSN:	0256-7040
Date of First Compliant Deposit:	14 May 2021
Date of Acceptance:	13 August 2019
Last Modified:	21 May 2023 12:40
URI:	https://orca.cardiff.ac.uk/id/eprint/141320

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