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KMID : 0381219890210040419
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Journal of RIMSK
1989 Volume.21 No. 4 p.419 ~ p.423
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A Case of Otogenic Brain Abscess
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Abstract
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Before antibiotics were regularly used, complications of suppurative otitis media arose more frequently from acute middle ear suppuration than from chronic middle ear disease. Nowadays, most otological experience indicates that chronic middle ear infection is the greater hazard.
Antibiotics have radically reduced the incidence of complications, but have had much less effect on the mortality of established complications. Of equal importance, they have altered the clinical pattern of presentation, introducing an element of masking.
Otogenic brain abscesses almost always develop in the temporal lobe or the cerebellum of the same side. The symptoms are those of infection, and compression of brain tissue. Headache, malaise, fever, drowsiness are all suspicious symptoms.
The advent of computerized tomographic (CT) scanning has revolutionized the diagnosis of intracranial complications to the same dramatic extent that antibiotics have affected the incidence and prognosis. Investigation and treatment must run concurrently. The principles of treatment, common to all intracranial complications include: 1) systemic antibiotics therapy, 2) local neurosurgical attention to the complications identified, and 3) treatment of ear lesion.
Recently the authors experienced a case of otogenic brain abscess.
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KEYWORD
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