Trombosi venosa cerebrale associata a otomastoidite con segni di ipertensione endocranica

Venous thrombosis of the cerebral sinuses can complicate acute otitis media (AOM) due to the close anatomical relationship between these structures. This condition presents a diagnostic challenge for clinicians, as it often manifests with nonspecific symptoms like headaches and carries the risk of quickly developing into intracranial hypertension. Here, we present the case of a ten-year-old child with a history of AOM who developed a headache, later diagnosed as otomastoiditis complicated by thrombosis of the sigmoid sinus and jugular-sigmoid junction. The patient required surgical intervention, along with antibiotic and anticoagulant therapy, leading to a full resolution of the thrombosis.