Presentation
Severe headache.
Patient Data
Distended right transverse and sigmoid sinuses with intraluminal signal change appearing of low signal on T2 and high signal on T1 and FLAIR in keeping with right sided dural sinus thrombosis.
Both optic nerves are tortuous with mild optic sheath hydrops with indentation of the posterior sclera at optic discs and partial empty sella, suggestive of secondary intracranial hypertension.
High signal intensity of the right middle ear and mastoid, suggestive of otomastoiditis.
Case Discussion
Acute dural sinus thrombosis involving right transverse and sigmoid sinuses with signs of secondary intracranial hypertension. It may resulted as a complication of right otomastoiditis.