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KMID : 0361020000430080883
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 8 p.883 ~ p.886
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A Case of Acute Coalescent Mastoiditis with Otogenic Cerebellar Abscess due to Acute Otitis Media
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Sung Jong-Hwa
Kim Jin-Pyeong
Kim Dong-Ju
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Abstract
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The incidence of a surgical mastoiditis developing from acute otitis media (AOM) has been decreased. But otitis media should still be considered a potentially dangerous disease because the clinical course is less predictable now than in the past. Significant and life-threatening complications may occur, including acute coalescent mastoiditis, intracranial complications, facial paralysis, subperiosteal abscess, etc. Incidence of otogenic cerebellar abscess has decreased, but the mortality rate in the literature is still high, There have been no reports in the Korean literature on acute coalescent mastoiditis with otogenic cerebellar abscess due to acute otitis media, but recently, we encountered a patient experiencing an acute coalecent mastoiditis, a supparative labyrinthitis and an otogenic cerebellar abscess due to acute otitis media all at the same time. Although the patient was treated with parenteral antibiotics, mastoidectomy, labyrinthectomy, and excision of th abscess via craniotomy, he passed away on the 62nd days after craniotomy. We report this case with a review of literature.
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KEYWORD
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Acute otitis media, Acute coalescent mastoiditis, Cerebellar abscess
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