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1.
Haematologica ; 103(9): e427-e431, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29773603
2.
Int J Pediatr Otorhinolaryngol ; 71(2): 347-51, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17126414

RESUMEN

Lateral sinus thrombosis (LST), a rare complication of otitis media, is managed by antibiotics, surgery and anticoagulation. Traditionally, post-operative anticoagulation has been achieved by intravenous unfractionated heparin followed by oral warfarin. Fractionated, or low-molecular weight heparin derivatives (LMWH) have been introduced recently. There has been minimal literature to date regarding their use for the management of LST. We present use of the LMWH enoxaparin (Lovenox) for otogenic LST in two children, both of whom experienced hemorrhagic complications. On this basis and in the context of a literature review, we urge caution when using LMWH for pediatric otogenic LST.


Asunto(s)
Anticoagulantes/efectos adversos , Enoxaparina/efectos adversos , Trombosis del Seno Lateral , Hemorragia Posoperatoria/inducido químicamente , Adolescente , Anticoagulantes/uso terapéutico , Preescolar , Enoxaparina/uso terapéutico , Humanos , Trombosis del Seno Lateral/tratamiento farmacológico , Trombosis del Seno Lateral/etiología , Trombosis del Seno Lateral/cirugía , Imagen por Resonancia Magnética , Masculino , Otitis Media/complicaciones
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