Its a case of unsafe CSOM with intracranial complication of sigmoid sinus thrombosis.
In this clinical entity, pitting edema on mastoid is called Griessenger sign.
Why it is not mastoiditis?
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Headache points towards intracranial complication
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In mastoiditis, there is no pitting edema on mastoid… there is just congested mildly edematous skin over mastoid but not pitting.
Sir why not Cavernous sinus thrombosis?