RT Journal Article
SR Electronic
T1 Chronic suppurative otitis media with intracranial complication
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 322
OP 325
VO 11
IS 4
A1 Abdulaziz A. Aldakhail
YR 2006
UL http://nsj.org.sa/content/11/4/322.abstract
AB A complication of otitis media is defined as a spread of infection beyond the pneumatized area of the temporal bone and the associated mucosa. Complications can be classified as intra temporal or intra cranial, which includes extradural abscess, brain abscess, subdural abscess, sigmoid sinus thrombophlebitis, otic hydrocephalus, and meningitis. Since the introduction of antibiotics, intra cranial complications in otitis media are less common, however, the occurrence should not be underestimated due to their associated morbidity and mortality. Herein, we report a case of chronic suppurative otitis media (CSOM) with intra cranial complication (brain abscess) in a 25-year-old male patient with ear discharge, severe headache, and vomiting. Computerized tomography scan confirmed the diagnosis. The patient was managed by a combined neurosurgical and otologic approach. Surgery of the abscess includes aspiration through a bur hole or craniotomy and by radical mastoidectomy for CSOM.