An Update on the Management of Otogenic Cerebral Sinus Thrombosis: A Systematic Review

Key Points

• This review aims to evaluate the management strategies for otogenic cerebral sinus thrombosis and their effectiveness.
• Conducted a systematic review of existing literature on treatment methods for otogenic cerebral sinus thrombosis.
• Analyzed outcomes associated with antibiotics, anticoagulation, surgical interventions, and complication rates.
• Reviewed safety and efficacy of mastoidectomy and sigmoid sinus decompression procedures.
• Combination of antibiotics, anticoagulation, and surgery leads to the most favorable patient outcomes.
• Mastoidectomy and sigmoid sinus decompression are commonly performed and largely safe procedures.
• Incision and drainage of the sigmoid sinus does not provide additional benefits and is linked to a higher complication rate.