Cerebral venous sinus thrombosis secondary to tonsillectomy

• Published in: Auris, nasus, larynx nasus, larynx, 2022-08, Vol.49 (4), p.709-712
• Main Authors: Liu, Yihan, Zhao, Jingjing, Zhu, Minwei, Wu, Yongjun, Ma, Huaan
• Format: Article
• Language: English
• Subjects: Anticoagulants - therapeutic use; Bacterial infections; Cerebral venous sinus thrombosis; Cranial Sinuses; High condensation state of dehydration; Humans; Magnetic Resonance Imaging; Male; Postoperative management; Sinus Thrombosis, Intracranial - diagnostic imaging; Sinus Thrombosis, Intracranial - etiology; Tonsillectomy; Tonsillectomy - adverse effects
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/j.anl.2020.11.017

Cerebral venous sinus thrombosis(CVST) is considered to be a rare, high-risk, easily misdiagnosed disease with a mortality rate of 9.4%. Early diagnosis and timely anticoagulant thrombolytic therapy can reduce the mortality and disability rate and improve the prognosis of patients. This report describes the situation of a young male patient with bilateral tonsillectomy who, after going under low temperature plasma and general anesthesia surgery, presented with headache on the 4th day after the operation, and was diagnosed to be CVST by computed tomography(CT) and Magnetic Resonance Imaging(MRI). Due to severe pharynx swallowing pain after the surgery, his total daily intake was less than 2000 ml. After treatment, his prognosis was optimistic. The rarity and high risk of CVST after tonsillectomy suggest that we should pay attention to the related problems in the perioperative management of tonsillectomy include Bacterial infections, high condensation state of dehydration, using hemostatic drugs sparingly, etc.