A middle aged lady presented with fever, generalized tiredness and dysphagia. Neurological evaluation revealed weakness of pharyngeal muscles, uvula,palate with absent gag reflex and a weak sternocleidomastoid muscle. Involvement of 9,10,11,12 cranial nerves in the absence of Horner’s syndrome confirmed the diagnosis of Collet-Sicardsyndome. MR imaging studies revealed a Sigmoid Sinus Thrombosi...

A 74-year-old male presented with an intracranial hemorrhage caused by multiple dural arteriovenous fistulas (DAVFs) in the left transverse sinus and right sigmoid sinus. Four months previously, the patient underwent tongue cancer removal with lymph node dissection and ligation of the right internal jugular vein. Endovascular embolization (transvenous and transarterial embolization) resulted in...

Middle ear is separated from middle cranial fossa by thin plate of bone known as tegmen tympani and from the sigmoid sinus by sinus plate. The chronic middle ear disease such as granulation or Choesteotoma can errode tegmen tympani or posteriorly the sinus plate and lead to intracranial complications. The most important to otolaryngologist is the brain abscess and sinus thrombophlebitis. Any pa...

Extraskeletal Ewing's sarcoma is rarely found in the head and neck regions. We report an unusual case of extraskeletal Ewing's Sarcoma of the parapharynx region in a 49-year-old man who presented with blindness. MRI examination showed marked enhancement of tumor thrombosis involving the superior sagittal sinus, straight sinus, transverse sinus, sigmoid sinus, and internal jugular vein. The fina...

The retrolabyrinthine approach is classified among the posterior petrosectomies. Its goal to achieve an enlarged mastoidectomy while sparing intrapetrous neurotologic structures in order offer maximal exposure of cerebellopontine angle compound. stages procedure are subsequently skeletonization sigmoid sinus, wide opening mastoid antrum and semicircular canals. We present herein technique, indi...

Introduction. Otitis media (OM) is one of the most common infections in child pathology, most often with selflimited evolution (1,2). In 2-6% of cases (2) developed, intracranial complications with unfavorable, fatal outcome in 8-26.3% of them (2,3). Presence of neurological signs in the evolution of suppurative otitis require early imaging examinations (2-8). Material and methods. We presents ...

BACKGROUND Chickenpox is one of the classic childhood diseases. Recently chicken pox has been reported in adults with more severe systemic and neurological complications. Cerebral venous thrombosis (CVT) is a life threatening disorder if not treated in time. We report a patient with post varicella CVT as a rare complication of primary Varicella zoster virus. CASE REPORT Vasculitic arterial in...

Many cases of thrombosis of the sigmoid sinus, secondary to inflammation of the middle ear, have been successfully treated without ligature of the internal jugular vein. Some cases, indeed, have terminated favourably although neither the sinus itself nor the jugular vein have been directly treated. I have myself, in the practice of other surgeons, seen one case in which pyaemic abscesses formed...

Dural arteriovenous fistula (DAVF) is rarely associated with parkinsonism. A 52-year-old woman presented with a rare case of DAVF manifesting as parkinsonism and subsequently akinetic mutism. She showed dramatic recovery after endovascular treatment. We also review 10 published reports of DAVF presenting with parkinsonism. The clinical features of these cases at presentation was more closely co...

We report a case with rare complication of cerebral venous thrombosis, as well an incomplete response, after sigmoid sinus resurfacing surgery for pulsatile tinnitus (PT). A 24-year-old female patient PT originating from the underwent surgery. The was immediately resolved, but it recurred headache 5 days thrombosis identified and treated, persisted, although its frequency loudness decreased. Si...