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The pathophysiology of otitic hydrocephalus

Published online by Cambridge University Press:  29 June 2007

A. Tomkinson ,
R. G. S. Mills  and
P. J. Cantrell
A. Tomkinson*
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, University of Wales College of Medicine, Heath Park, Cardiff, UK.
R. G. S. Mills
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, University of Wales College of Medicine, Heath Park, Cardiff, UK.
P. J. Cantrell
Affiliation:
Department of Radiology, University of Wales College of Medicine, Heath Park, Cardiff, UK.
*
Address for correspondence: Mr A. Tomkinson, F.R.C.S., Department of Otolaryngology, Head and Neck Surgery, University of Wales College of Medicine, Heath Park, Cardiff.
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Abstract

The pathophysiology of otitic hydrocephalus remains controversial. It has been argued that involvement of the superior sagittal sinus, by, at least, a mural thrombus is a necessary component of this disease.

We present a case of otitic hydrocephalus where on magnetic resonance imaging (MRI) normal luminal and mural flow within the superior sagittal sinus is demonstrated. The presence of thrombus in the lateral venous sinus alone appears sufficient in this case to impede venous drainage of the intracranial contents into the neck and produce a rise in the cerebral venous pressure and a subsequent increase in the CSF pressure. The presence of a superior sagittal sinus mural thrombus is not required.

Keywords

Hydrocephalus, otiticCerebrospinal fluidSinus thiombosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 8 , August 1997 , pp. 757 - 759
Copyright
Copyright © JLO (1984) Limited 1997

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References

Clemis, J. D., Jerva, M. J. (1976) Hydrocephalus following translabyrinthine surgery. Journal of Otolaryngology 5(4): 303–309.Google ScholarPubMed
Doyle, K. J., Brackmann, D. E., House, J. R. (1994) Pathogenesis of otitic hydrocephalus: clinical evidence in support of Symonds' (1937) theory. Otolaryngology–Head and Neck Surgery 111(3 Pt 1): 323–327.CrossRefGoogle ScholarPubMed
Fishman, R. A. (1984) The pathophysiology of pseudotumour cerebri: An unsolved puzzle. Archives of Neurology 41: 257–258.CrossRefGoogle ScholarPubMed
Foley, J. (1955) Benign forms of intracranial hypertension – ‘toxic’ and ‘otitic’ hydrocephalus. Brain 78(1): 1–41.CrossRefGoogle ScholarPubMed
Lund, W. S. (1978) A review of 50 cases of intracranial complications from otogenic infection between 1961 and 1977. Clinical Otolaryngology 3(4): 495–501.CrossRefGoogle ScholarPubMed
O'Connor, A. F., Moffat, D. A. (1978) Otogenic intracranial hypertension. Otitic hydrocephalus. Journal of Laryngology and Otology 92(9): 767–775.CrossRefGoogle ScholarPubMed
Powers, J. M., Schnur, J. A., Baldree, M. E. (1986) Pseudotumour cerebri due to partial obstruction of the sigmoid sinus by a cholesteatoma. Archives of Neurology 43: 519–521.CrossRefGoogle ScholarPubMed
Quincke, H. (1896) Ueber meningitis serosa und verwandte. Deutsche Zeitschrift fur Nervenheilkunde 9: 149–168.CrossRefGoogle Scholar
Symonds, C. P. (1937) Hydrocephalus and focal cerebral symptoms in relation to thrombophlebitis of the dural sinus and cerebral veins. Brain 60: 531–550.CrossRefGoogle Scholar
Symonds, C. P. (1931) Otitic hydrocephalus. Brain 54: 55–71.CrossRefGoogle Scholar
Woodhall, B. (1936) Variation in the cranial venous sinuses in the region of the torcula herophili. Archives of Surgery 33: 297–314.CrossRefGoogle Scholar