Cerebral sinovenous thrombosis as a complication of otitis m
The present case has been reported in the journal Clinical Case Reports.

A 6‐year‐old girl presented to the emergency department with 2 days of fever, vomiting, and headache. She was seen at her pediatrician's office on the day prior to presentation and prescribed amoxicillin for right acute otitis media (AOM). She had bilateral myringotomy tube placement 7 months prior to presentation due to chronic ear infections, otherwise she was healthy and up to date on her immunizations.

Both tympanic membranes were erythematous and bulging, but there was no erythema or tenderness overlying the mastoid processes and no protrusion of the pinna bilaterally. The patient was initially treated with intravenous (IV) fluids for dehydration, IV Ketorolac for pain, and ceftriaxone for AOM prior to admission to the pediatric ward.

Over the following day, her headache progressed, and she developed diplopia noted when she began covering one eye to watch television. Ophthalmic examination revealed bilateral papilledema consistent with increased intracranial pressure (ICP). Computed tomography (CT) of the head with IV contrast showed CSVT with right mastoiditis.

She was ultimately diagnosed with cerebral sinovenous thrombosis (CSVT) and was managed medically with antibiotics, anticoagulation, and acetazolamide. Surgical intervention was also required and included lumbar drainage and mastoidectomy with myringotomy.

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