Redness of the eardrum, swelling behind the ear

Introduction Most patients with intracranial venous sinus occlusive hypertension have perforation of the tympanic membrane, and some patients have redness of the tympanic membrane and redness after the ear. Intracranial venous sinus and venous thrombosis are the main causes of cerebral venous return and cerebrospinal fluid absorption disorders. The result is a cranial hypertension. This particular type of intracranial hypertension is called venous sinus occlusion.

Cause

The transverse sinus thrombosis is mostly due to otitis media or mastoiditis. After several weeks, the patient has a headache, the head is aggravated when he turns, and there may be vomiting. The venous congestion of the skin after the ear. If the phlebitis has extended to the internal jugular vein, the neck is touched. Pain, optic disc edema, mostly confined to the disease side, the degree is not heavy, focal cerebral inflammation symptoms are convulsions and contralateral hemiparesis. When the left transverse sinus thrombosis is formed, aphasia can be manifested. Most patients have perforation of the tympanic membrane, and some patients have redness of the tympanic membrane and redness after the ear.

an examination

Related inspection

Tympanic membrane audition CT scan

The diagnosis of intracranial venous sinus occlusion relies on clinical manifestations such as headache, nausea, vomiting, and symptoms of intracranial hypertension of optic disc edema, as well as localized localized signs of localized neurological signs and venous sinus thrombosis and related systemic factors. CT scan showed "" sign, especially venous sinus occlusion can be diagnosed during angiography. In recent years, due to the large number and wide application of antibiotics, venous sinus thrombosis caused by local infection tends to be subacute and chronic onset. Some patients have only chronic cranial hypertension, and other typical manifestations of venous sinus thrombosis are only manifested. For high intracranial pressure symptoms.

Differential diagnosis

The tympanic membrane was ruptured due to various ear inflammation or ear trauma.

Post-auricular mastoid edema is a clinical symptom of acute suppurative mastoiditis. There is a continuous mucosal phase between the middle ear mastoids, and there is an inflammatory reaction in the mastoid mucosa after the middle ear purulent infection. The initial stage is catarrhal, the mastoid area may have mild tenderness, the perforation of the tympanic membrane is pus, the mastoid The inflammatory response disappears. If the drainage is not smooth, or type III pneumococcal infection, the toxicity is very strong, destroying the bone, so that the mastoid small mucosa edema, hemorrhage, necrosis, it becomes acute suppurative mastoiditis, actually the follow-up of acute otitis media It should be called acute suppurative otitis media.

Suppurative auricular perichondritis examination showed redness of the auricle. Auricular perichondritis can be divided into two types: serous and suppurative. The lesion is serum exudation (slurry) or pus formation (suppurative) between the cartilage and the perichondrium.

The diagnosis of intracranial venous sinus occlusion relies on clinical manifestations such as headache, nausea, vomiting, and symptoms of intracranial hypertension of optic disc edema, as well as localized localized signs of localized neurological signs and venous sinus thrombosis and related systemic factors. CT scan showed "" sign, especially venous sinus occlusion can be diagnosed during angiography. In recent years, due to the large number and wide application of antibiotics, venous sinus thrombosis caused by local infection tends to be subacute and chronic onset. Some patients have only chronic cranial hypertension, and other typical manifestations of venous sinus thrombosis are only manifested. For high intracranial pressure symptoms.

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