The incidence of intracranial complications of chronic otitis media with cholesteatoma, including lateral sinus thrombophlebitis, has been significantly reduced since the advent of antibiotics. But, it is still a serious disease accompanied by a high morbidity and mortality rate. Therefore, a high index of suspicion is essential for early diagnosis and appropriate management. The signs and clinical courses of lateral sinus thrombophlebitis are non-specific and the final diagnosis rests on radiological investigations including CT and MRI. Prompt antibiotics and surgery are definite treatment modalities. Early surgical treatment may reduce the possibility of the intracranial complications and shortens the duration of illness. Recently we experienced a case of lateral sinus thrombophlebitis complicated with chronic otitis media with cholesteatoma, and reported this case along with literature survey.
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