Unilateral sigmoid sinus thrombosis and otitis media in a paediatric patient

The aim of this study is to present the symptoms, diagnosis, and management of unilateral sigmoid sinus thrombosis (SST) in a pediatric patient with acute otitis media, as well as to propose recommendations for its diagnosis and treatment. An 11-year-old girl was referred to our clinic with persistent high fever, headache, and otalgia. She had previously been treated with local and oral antibiotics. A comprehensive evaluation revealed otitis media, mastoiditis, and SST in the right ear. Blood tests, along with imaging studies including a CT scan and contrast-enhanced MRI were performed for confirmation. The patient was treated with broad-spectrum antibiotics, anticoagulation therapy, and ventilation tube insertion, leading to a favourable clinical, laboratory, and imaging outcome. She was discharged home after seven days. Based on our experience, the combination of broad-spectrum antibiotics, anticoagulation therapy, and a conservative surgical approach can result in a positive prognosis for pediatric patients with SST as a complication of otitis media.