Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-13T01:27:39.316Z Has data issue: false hasContentIssue false
  • English
  • Français

Benign intracranial hypertension caused by mastoiditis and lateral sinus obstruction: The value of computerized tomography in diagnosis

Published online by Cambridge University Press:  29 June 2007

U. Schønsted-Madsen ,
P. Sehested  and
T. Brask
U. Schønsted-Madsen*
Affiliation:
Odense, Denmark
P. Sehested
Affiliation:
Odense, Denmark
T. Brask
Affiliation:
Odense, Denmark
*
Ulf Schønsted-Madsen, M.D., Department of Oto-Rhino-Laryngology, Odense University Hospital, DK 5000, Odense C, Denmark.
Get access Rights & Permissions [Opens in a new window]

Abstract

A case of benign intracranial hypertension occurring in an 11-year-old boy, and due to lateral sinus obstruction, is reported. Computerized tomographic scan was conclusive, revealing a normal ventricular system and no evidence of a neoplastic lesion. Disappearance of the mastoid air cells and disruption of the trabecular pattern were also shown on the affected side. The diagnosis was confirmed at operation, and the course was favourable. In accordance with other studies cited, our findings suggest that patients suspected of benign intracranial hypertension can be spared invasive neuroradiological procedures if the computerized tomographic scan of the head is normal.

Type
Clinical records
Information
The Journal of Laryngology & Otology , Volume 98 , Issue 4 , April 1984 , pp. 395 - 398
Copyright
Copyright © JLO (1984) Limited 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Boddie, H. G., Banna, M., and Bradley, W. G. (1974) ‘Benign’ intracranial hypertension. A survey of the clinical and radiological features, and long term prognosis. Brain, 97: 313–326.CrossRefGoogle ScholarPubMed
Dandy, E. E. (1937) Intracranial pressure without brain tumour, diagnosis and treatment. Annals of Surgery, 106: 492–513.CrossRefGoogle ScholarPubMed
Davidoff, L. M., and Dyke, C. G. (1937) Hypertensive meningeal hydrops: syndrome frequently following infection in middle ear or elsewhere in the body. American Journal of Ophthalmology, 20: 908–927.CrossRefGoogle Scholar
Delaney, P., and Schellinger, D. (1976) Computerized tomography and benign intracranial hypertension. JAMA, 236: 951–952.CrossRefGoogle ScholarPubMed
Donaldson, J. O. (1981) Pathogenesis of pseudotumour cerebri syndromes. Neurology (Ny), 31: 877–880.CrossRefGoogle ScholarPubMed
Greer, M. (1962) Benign intracranial hypertension. I. Mastoiditis and lateral sinus obstruction. Neurology (Minneapolis), 12: 472–476.CrossRefGoogle ScholarPubMed
Greer, M. (1968) Management of benign intracranial hypertension (Pseudotumour cerebri). Clinical Neurosurgery, 5: 161–174.CrossRefGoogle Scholar
Huckman, M. S., Fox, J. S., Ramsay, R. G., and Penn, D. R. (1976) Computed tomography in the diagnosis of pseudotumour cerebri. Radiology, 119: 593–597.CrossRefGoogle Scholar
Johnston, I., and Paterson, A. (1974a) Benign intracranial hypertension. I. Diagnosis and prognosis. Brain, 97: 289–300.CrossRefGoogle ScholarPubMed
Johnston, I., and Paterson, A. (1974b) Benign intracranial hypertensioa II. CSF pressure and circulation. Brain, 97: 301–312.CrossRefGoogle Scholar
Kalberg, R. M., and Woolf, A. L. (1967) Cerebral venous thrombosis. Oxford University Press, London.Google Scholar
Lysak, W. R., and Svein, H. J. (1966) Long-term follow-up on patients with diagnosis of pseudotumour cerebri. Journal of Neurosurgery, 25: 284–287.CrossRefGoogle Scholar
Reid, A. C., Matheson, M. S., and Teasdale, G. (1980) Volume of the ventricles in benign intracranial hypertension. Lancet, 2: 7–8.CrossRefGoogle ScholarPubMed
Symonds, C. P. (1931) Otitic hydrocephalus. Brain, 54: 55–71.Google Scholar
Weisberg, L. A. (1975) Benign intracranial hypertension. Medicine (Baltimore), 54: 197–207.CrossRefGoogle ScholarPubMed
Weisberg, L. A., and Nice, C. N. (1977) Computed tomographic evaluation of increased intracranial pressure without localizing signs. Radiology, 122: 133–136.CrossRefGoogle ScholarPubMed