Griesinger sign

from Wikipedia, the free encyclopedia

The Griesinger sign ( Wilhelm Griesinger , neurologist , Berlin , Cairo , 1817–1868) is an edema that is painful to pressure and an expansion of veins behind the mastoid process of the temporal bone in the case of thrombosis of the transverse sinus cerebri (see also sinus thrombosis ).

Pathophysiology

Thrombosis of the sinus transversus cerebri is a feared complication of purulent otitis ( otitis media ) and the purulent mastoiditis . This leads to the formation of an abscess that breaks through the dura (hard meninges) and causes a thrombosis in the sinus. This can spread further and ultimately lead to an impairment of the blood flow from the back of the neck and to the transfer of fluid into the tissue (edema) with accompanying tenderness. Symptoms are rarely observed in the absence of infection.

Individual evidence

  1. ^ Pschyrembel Clinical Dictionary . Founded by Willibald Pschyrembel. Edited by the publisher's dictionary editor under the direction of Helmut Hildebrandt. 261st edition. De Gruyter, Berlin 2007, ISBN 978-3-11-018534-8 .
  2. B. Viswanatha: Otogenic Lateral Sinus Thrombosis. (May 15, 2008); http://emedicine.medscape.com/article/1048625-overview
  3. B. Viswanatha: Nonseptic lateral sinus thrombosis: the role of the otolaryngologist . In: Ear Nose Throat J. 2009 Jan; 88 (1), pp. 731-733. PMID 19172568 .