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FAO Sqad
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Sorry to trouble you, but I wondered if you may be able to help please?
My seven year old nephew has just been admitted to hospital.
He was complaining of ear pain. GP prescribed antibiotics on Wedneday. Thursday he was still in pain, so the GP doubled the dose of abx. Today he was in so much pain, the GP referred him to the hospital.
CT scan done, and it showed a partial blockage of a vein somewhere in his head (parents wording). He was given clot busters and now on a 10/7 warfarin.
In your opinion, could the two be related? Have you come across this before? Sorry for the lack of full medical information, but it is all I have go to on. Dad was obviously too upset to talk.
PMH - prone to ear infections which usually resolve with abx. Nil else of significance.
Many thanks.
My seven year old nephew has just been admitted to hospital.
He was complaining of ear pain. GP prescribed antibiotics on Wedneday. Thursday he was still in pain, so the GP doubled the dose of abx. Today he was in so much pain, the GP referred him to the hospital.
CT scan done, and it showed a partial blockage of a vein somewhere in his head (parents wording). He was given clot busters and now on a 10/7 warfarin.
In your opinion, could the two be related? Have you come across this before? Sorry for the lack of full medical information, but it is all I have go to on. Dad was obviously too upset to talk.
PMH - prone to ear infections which usually resolve with abx. Nil else of significance.
Many thanks.
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squalsal....you have asked the question,so I will be honest with my answers.
Yes, the two are connected and ear problems can sometimes, but rarely cause neurological problems and yes I have come ascross this situation before.
Two conditions spring to mind:
1) Cavernous Sinus Thrombosis...........this is very uncommon and mat well be life threatening.....needs treatment from either a Neurological Unit or a Neuro-Otologist.
2) Cholesteatoma......unlikely as it is almost always associated with a disharging ear, which you have not mentioned.
This is a big deal.
Thw expertise of the doctors and nurses is paramaount here and please keep me informed.
Yes, the two are connected and ear problems can sometimes, but rarely cause neurological problems and yes I have come ascross this situation before.
Two conditions spring to mind:
1) Cavernous Sinus Thrombosis...........this is very uncommon and mat well be life threatening.....needs treatment from either a Neurological Unit or a Neuro-Otologist.
2) Cholesteatoma......unlikely as it is almost always associated with a disharging ear, which you have not mentioned.
This is a big deal.
Thw expertise of the doctors and nurses is paramaount here and please keep me informed.
-- answer removed --
A little update for you all!
Little man is still in neuro centre. Lumbar puncture revealed high pressure. Thankfully the LP helped to reduce some pressure, so now he only has pain in his back and not his head.
The neurologists are now thinking that the ear infection and the clot in his brain are purely coincidental.
Little man to remain on warfarin for 6/12. A watch and wait technique is being employed.
The parents mentioned today that back in August the little man expereinced severe pains down his legs. GP could find nothing wrong.
I am wondering if the vein was starting to get blocked then, and it took until now to cause such radical symptoms?
The most important thing is that his pain levels are reducing, and he is able to talk, but remains understandably exhausted.
The plan is to move him back to the 'general' hospital tomorrow.
Thank you again for the kind words and thoughts.
Little man is still in neuro centre. Lumbar puncture revealed high pressure. Thankfully the LP helped to reduce some pressure, so now he only has pain in his back and not his head.
The neurologists are now thinking that the ear infection and the clot in his brain are purely coincidental.
Little man to remain on warfarin for 6/12. A watch and wait technique is being employed.
The parents mentioned today that back in August the little man expereinced severe pains down his legs. GP could find nothing wrong.
I am wondering if the vein was starting to get blocked then, and it took until now to cause such radical symptoms?
The most important thing is that his pain levels are reducing, and he is able to talk, but remains understandably exhausted.
The plan is to move him back to the 'general' hospital tomorrow.
Thank you again for the kind words and thoughts.
-- answer removed --
