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Brain abscess secondary to the middle ear cholesteatoma: a report of two cases.
- Source :
-
Auris, nasus, larynx [Auris Nasus Larynx] 2004 Dec; Vol. 31 (4), pp. 433-7. - Publication Year :
- 2004
-
Abstract
- We experienced two cases of brain abscess secondary to middle ear cholesteatoma. One, a 61-year-old woman, presented with left otalgia, appetite loss and nausea. The computed tomography obtained on admission revealed a middle ear cholesteatoma. The magnetic resonance image showed the presence of a brain abscess in the cerebellum. The brain abscess was drained and the cholesteatoma was removed using the canal down procedure under general anesthesia. Part of the cholesteatoma invaded the posterior cranial fossa was could not be removed from the otological surgical field. The patient has been under observation as an outpatient for 6 months already and no abnormal signs have been detected. The other patient, a 55-year-old man, was admitted to our hospital for a detailed examination because he had right otalgia and progressive headache. The examination of spinal fluid obtained by lumbar puncture showed marked elevation of the white blood cells count. Computed tomography revealed a middle ear cholesteatoma. The magnetic resonance image obtained on admission showed an area of low-intensity encapsulated by an area of high-intensity in the right temporal lobe. The abscess was drained and the cholesteatoma was removed using the canal down procedure under general anesthesia. The patient has been under observation for 1 year already and has presented no signs of recurrence.
- Subjects :
- Anti-Bacterial Agents therapeutic use
Brain Abscess diagnosis
Brain Abscess therapy
Cerebellum diagnostic imaging
Cerebellum microbiology
Cerebellum pathology
Cholesteatoma, Middle Ear diagnosis
Cholesteatoma, Middle Ear microbiology
Cholesteatoma, Middle Ear therapy
Female
Humans
Injections, Intravenous
Magnetic Resonance Imaging
Male
Middle Aged
Neurosurgical Procedures methods
Staphylococcal Infections diagnosis
Staphylococcal Infections drug therapy
Staphylococcus aureus isolation & purification
Tomography, X-Ray Computed
Tympanoplasty
Brain Abscess etiology
Cholesteatoma, Middle Ear complications
Subjects
Details
- Language :
- English
- ISSN :
- 0385-8146
- Volume :
- 31
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Auris, nasus, larynx
- Publication Type :
- Academic Journal
- Accession number :
- 15571920
- Full Text :
- https://doi.org/10.1016/j.anl.2004.09.010