Prashant Gupta

Otogenic lateral sinus Thrombosis: a rare complication of chronic Otitis media

Since the advent of antibiotics, lateral sinus thrombosis is an infrequent complication of otitis media. Lateral sinus thrombosis may occur by thrombophlebitis or penetration by offending pathogens through the dura of middle and posterior cranial fossae. We present a case of right-sided sigmoid and transverse venous sinus thrombosis as a rare complication of chronic suppurative otitis media in an adult. We discuss the patient’s imaging, management and relevant literature to offer clinical recommendations. A 39-year-old woman presented with headache, neck pain, vomiting, fever and photophobia with a tender right mastoid on examination. Computerised Tomography, Magnetic Resonance Imaging and Magnetic Resonance Venogram of the head revealed complete opacifi cation of the right mastoid air cells and middle ear, with absent fl ow void in the right transverse and sigmoid sinus, consistent with thrombosis. After discussion with neurosurgery, she was commenced on anticoagulants. The patient was readmitted with right otalgia and otorrhea refractory to medical treatment, and ultimately underwent right mastoid exploration. Conclusion: Lateral sinus thrombosis may occur with other intracranial or extracranial complications of otitis media. Clinicians should approach any complication of otitis media with vigilance as antibiotics may mask some signs and symptoms of mastoiditis, which can progress to otogenic brain abscess. Case Report Otogenic lateral sinus Thrombosis: a rare complication of chronic Otitis media Eghoihunu Ireo*, Prashant Gupta and Ganapathy Dhanasekar Scunthorpe General Hospital, Northern Lincolnshire and Goole NHS Foundation Trust, United Kingdom *Address for Correspondence: Eghoihunu Ireo, Scunthorpe General Hospital, Northern Lincolnshire and Goole NHS Foundation Trust, United Kingdom, Email: eghoihunu.ireo@nhs.net Submitted: 09 August 2017 Approved: 21 August 2017 Published: 22 August 2017 Copyright: 2017 Ireo E, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Pattern of two wheeler road traffic accidents in rural setting: a retrospective study

BACKGROUND: Roads and vehicles which are for making life comfortable and faster, can result in miserable life when one meet a road traffic accident. By 2020 road traffic accident is projected to become the third leading contributor to the global burden of disease in the world and 6th place as a major cause of mortality worldwide. Motor cyclists are about 25 times more risk than passenger car occupants to die because of road traffic accidents. OBJECTIVEs of the study were, to study pattern of two wheeler road traffic accidents in rural setting. Methods: The present research is a retrospective analysis of all the two-wheeler accidents victim admitted in emergency, during the period ranging from September 2015 to February 2016. Results: Among the total 2,544 patient of RTA admitted within the study period; 1,257 patients (i.e.49.41%) were due to two-wheeler accidents. Next is pedestrian (n=516, 20.2%), light motor vehicle (n=464, 18.23%), and heavy motor vehicle accidents contribute (n=307, 12.06%). Conclusions: lack of road driving sense and lack of knowledge of traffic rules. Regarding the type of vehicles involved in these accidents, the maximum number of accidents was due to two wheeler vehicles (scooter/motorcycle). Keywords: Two wheeler RTA, Stray animals, Rural RTA