Response to the Letter to the Editor: “Pediatric otogenic lateral sinus thrombosis: focus on the prognostic role of contralateral venous drainage”
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We appreciate the interest in our study. The Letter titled “Pediatric otogenic lateral sinus thrombosis: focus on the prognostic role of contralateral venous drainage” raises several points concerning the most appropriate neuroimaging technique for diagnosis, the role of contralateral venous drainage and the indication to surgical treatment and anticoagulant therapy.
With regard to the neuroimaging technique, the authors of the letter state that contrast-enhanced MRI and angio-MRI with a venous phase of contrast-enhancement should be the rule. Most of the cases described in our 11-year retrospective review were diagnosed with CT scan with contrast when they came to clinical attention in the emergency department of our hospital, for the simple reason that CT scan is much easier to be obtained than MRI, which often requires general anesthesia in children. A joint statement by the American Heart Association and the American Stroke Association  recommends that CT-venography or...
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Conflict of interest
The authors declare that they have no conflict of interest.
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