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Case Reports
. 2022 Sep 14;26(3):128-134.
doi: 10.7812/TPP/21.237. Epub 2022 Jul 20.

Cerebral Venous Sinus Thrombosis Following COVID-19 and Otogenic Infection: A Diagnostic and Therapeutic Dilemma Followed by mRNA COVID-19 Vaccination

Lauren Cline  1 , Hien T Nguyen  2 , Angela Olenik  1
Affiliations
Case Reports

Cerebral Venous Sinus Thrombosis Following COVID-19 and Otogenic Infection: A Diagnostic and Therapeutic Dilemma Followed by mRNA COVID-19 Vaccination

Lauren Cline et al. Perm J. .

Abstract

IntroductionCerebral venous sinus thrombosis (CVST) is a rare neurovascular emergency that has been observed following COVID-19 infection, as well as following the use of non-mRNA COVID-19 vaccines. Case PresentationThe authors report a case of CVST in a 67-year-old woman, unvaccinated for COVID-19, who presented with acute otitis externa. It remains unclear whether the CVST was a following COVID-19 infection complication, otogenic CVST, or a combination of both. ConclusionThis case demonstrates the diagnostic and therapeutic dilemmas in managing this patient's challenging anticoagulation and antibiotic duration, as well as subsequent COVID-19 vaccination recommendations.

Keywords: COVID-19; acute otitis externa; case report; cerebral venous sinus thrombosis; vaccine-induced thrombotic thrombocytopenia.

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Conflict of interest statement

Conflicts of Interest: None declared

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