Author(s)

Harouna Sanogo¹, Kassim Diarra^2*, Nfaly Konate², Mohamed Saydi Ag Med Elmehdi Elansari³, Drissa Kaloga Bagayogo⁴, Kalifa Coulibaly², Dembele Yaya², Kone Fatogoma Issa², Boubacary Guindo², Siaka Soumaoro², Doumbia Kadidiatou², Mohamed Amadou Keita²

¹Reference Health Center Kalaban Koro, Bamako, Mali.
²ENT, Head and Neck Surgery Department, University Hospital Gabriel Toure, Bamako, Mali.
³Reference Health Center Common VI, Bamako, Mali.
⁴Department of Anesthetist Resuscitation, University Hospital Mother-Child Luxembourg, Bamako, Mali.

Cerebral venous thrombosis has an unfavorable prognosis. It is a rather rare pathology concerning 3 to 5 cases per million inhabitants. The clinical symptomatology also varies according to the topography of the venous thrombosis and, in some cases, the CVT can have an unusual presentation. Progress and accessibility of non-invasive imaging currently allow early diagnosis of CVT. Brain MRI is the reference method for the diagnosis of CVT. We report a case of transverse sinus thrombosis in a 32-year-old male patient who consulted for headaches through which we want to study the etiological, clinical, paraclinical, therapeutic aspects as well as the evolutionary profile. The clinical history dates back to 2 weeks ago with frontal headaches radiating to the occipital region, throbbing of severe intensity, progressive onset and permanent evolution associated with right unilateral anterior purulent rhinorrhea. He had no nasal obstruction, epistaxis, hearing loss or other otological symptoms; no neurological deficit or notion of head trauma. Cerebral and maxillofacial computed tomography showed right maxillary sinusitis and right transverse sinus thrombosis. We carried out medical treatment based on antibiotics and analgesics without the use of anticoagulants. The evolution was favorable after four weeks of treatment. Conclusion: Transverse sinus thrombosis has a non-specific and heterogeneous clinical presentation. Headaches are the first sign. MRI and CT can help establish the diagnosis. The treatment is both etiological and symptomatic.

Transverse Sinus Thrombosis, Headache, Non-Surgical Treatment

Sanogo, H. , Diarra, K. , Konate, N. , Elansari, M. , Bagayogo, D. , Coulibaly, K. , Yaya, D. , Issa, K. , Guindo, B. , Soumaoro, S. , Kadidiatou, D. and Keita, M. (2023) Thrombosis of the Transverse Sinus: About a Clinical Observation and Review of the Literature. International Journal of Otolaryngology and Head & Neck Surgery, 12, 180-186. doi: 10.4236/ijohns.2023.123019.