OBJECTIVE: Description of a patient with lateral sinus thrombosis as a complication of otitis media and literature review; CASE REPORT: Female patient 17 years of age, from the Villa Elisa, Central Department, Paraguay, who consulted the service of Otolaryngology, Clinical School of Medical Sciences Hospital, National University of Asuncion with a one month history of evolution of othorrea on the left, still, that settles spontaneously and returns to the stage, accompanying framework difficulty moving the head a week ago and pain radiating the neck. Consultation with a doctor who performed a crop secretion indicates that Citrobacter antibiotics and anti-inflammatory and indicates that the patient does not know how to fix without improving the framework. CONCLUSION: The mainstay of treatment is nowadays ATB parenteral therapy, and alternative anticoagulation, corticosteroids and cx. The treatment of this rare pathology in our time, our service was held in place as the best reference centers in the world with excellent results.