Hectic picket type of fever with rigor is important feature in
(B) (Lateral sinus thrombosis) (84- Dhingra 6th)LATERAL SINUS THROMBOSIS* Inflammation of inner wall of lateral venous sinus with formation of an intrasinus thrombosis* Complicatin of - Acute coalescent mastoiditis- Masked mastoiditis- CSOM- Cholesteatoma* Clinical features1. Hectic picket. Fence type of fever with rigor. This is due to septicaemia2. Headache in early stage due to perisinus abscess3. Progressive anaemia and emaciation4. Griesinger's sign- due to thrombosis of mastoid emissary vein.5. Papilloedema6. Tobey-Ayer test - record CSF pressure7. Crowe Beck test = pressure on jugular vein of healthy side produces engorgement of retinal vein(seen in ophthalmoscopy) and supraorbital vein, Engorgement of vein subsides on release of pressure8. Tendemess along jugular veinCT & MRI shows- "Delta sign"TREATMENT(1) Intravenous antibacterial therapy(2) Mastoidectomy and exposure of sinus(3) Ligation of internal jugular vein(4) Anticoagulant therapy.
Ear
Cavernous sinus thrombosis
Lateral sinus thrombosis
Ethmoid sinusitis
Sphenoid sinusitis
Lateral sinus thrombosis