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Lateral sinus pathology

(22 cases managed at Groote Schuur Hospital)

Published online by Cambridge University Press:  29 June 2007

T. J. Mathews*
Affiliation:
Cape Town. South Africa
*
Dr. T. J. Mathews, Department of Otolaryngology, Groote Schuur Hospital, Cape 7925, South Africa.

Abstract

One hundred and thirty patients with acute and acute on chronic mastoiditis were managed at Groote Schuur Hospital between 1980 and 1984. Twenty-two (16.9 percent) had pathology of the lateral (sigmoid) sinus and 19 of these patients had cholesteatomas. Nine patients (40.9 per cent) had concomitant intradural sepsis and there were two deaths.

The modern literature is reviewed and the pathology, presentation and management of lateral sinus pathology is discussed. This condition is rare and clinical features may range from subtle signs to gross toxaemia, torticollis and evidence of septic embolization. The otolaryngologist must be competent in diagnosing and treating this condition in all forms of its wide spectrum of presentation.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

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