Griesinger’s sign is seen in:
A. Cerebellar abscessB. Lateral sinus thrombosis
C. Otitic hydrocephalus
D. Meningitits
Ans. B. Griesingers sign is seen in
Lateral sinus thrombosis
Tenderness
and edema over mastoid (Griesinger’s sign) are pathgnomonic of lateral sinus
thrombosis. (LST)
• Classic symptoms of LST include a “picket fence” fever pattern; chills;
progressive anemia (especially with beta-hemolytic strep); and, symptoms of
septic emboli, headache and papiledema may indicate extension to involve the
cavernous sinus.
• The Toby-Ayer test is measured by monitoring the CSF pressure during a lumbar
puncture. No iriaease in CSF pressure during external compression of the
internal jugular vein on the affected side, and an exaggerated response on the
patent side, is suggestive of LST.
• Since the introduction of antibiotics, some authors have noted that a high
percentage of cases are due to chronic rather than acute cases of otitis media;
however this finding has not been consistent in all reports. Teenagers and
young adults are more commonly affected in modern reports whereas younger
children were reported in higher numbers in earlier series. In the
pre-antibiotic era,
