Otogenic Intracranial Complications - A Case Series

Authors

  • Mohd Ashraf Associate Professor, Dept of ENT, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh. Author
  • Abhishek Gupta Assistant Professor, Dept. of ENT, ASSPH & PGT College, Noida Author
  • Ibrahim al Jabr Assistant Professor, Department of Surgery, College of Medicine, King Faisal University, KSA. Author

DOI:

https://doi.org/10.21276/ex6vrd57

Keywords:

CSOM, meningitis, abscess, antibiotics

Abstract

Background: Intracranial complications of otogenic origin is now a rarity. Advent of antibiotics are both blessings if used intelligently and curse if used indiscriminately especially by quacks. Antibiotic resistance and cross resistance have given adverse results. Methods: A total of twenty cases were studied in the Department of ENT at Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh Results: Maximum number of cases belonged to 10 to 20 years age group, i.e eight cases (40%) followed by six cases (30%) in the age group greater than 30 years, four cases (20%) in 20 to 30 years age group, and 2 cases (10%) below 10 years. Males were affected more than females in the ratio of 4:1. The commonest presenting symptom was otorrhea, headache, fever and hearing loss. About half of the patients had vomiting, some had vertigo, otalgia and one patient had facial weakness. Conclusions: Almost all the intracranial complications encountered were intensively and meticulously treated by medical and surgical exercise which gave excellent results with collective team approach.

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References

V. B. Modak, V.R Chavan, V.R. Borade, D.P. Kotmis, S.R Jaiswal, Intracranial complications of otitis media: In retrospect. Indian Journal of Otolaryngology and Head and Neck Surgery vol 57, no.2, April-june 2005.

Miura MS, Krumennauer RC, Lubianca Neto JF. Intracranial complications of chronic suppurative otitis media in children. Braz J Otorhinolaryngol. 2005 Sep-Oct;71(5):639-43. Epub 2006 Mar 31.

Nesic V Janosevic L, Stogicic G, Babac S, Sladaje R- Brain abscess of otogenic origin. Srp Arh Celok Lek. 2002 Nov-Dec; 130(11-12) : 389-93.

Sennaroglu L. Sozeri B -Otogenic brain abscess - review of 41 cases. Otolaryngology Head and Neck Surgery. 2000, Dec,123 (6) ; 751-755.

Yen P.T., Chan S T, Huang T S - Brain abscess: with special reference to otolaryngologic sources of infection. Otolaryngology Head and Neck Surgery 1995 July; 113(1): 15-22.

Wahid FI1, Khan A, Khan IA. Complications of chronic suppurative otitis media: challenge for a developing country. Kulak Burun Bogaz Ihtis Derg. 2014 Sep-Oct;24(5):265-70. doi: 10.5606/kbbihtisas.2014.14477.

Timothy T K Jung, Cuneyt M Alper, Joanne E Roberts, Margaretha L Casselbrant, Per Olf Eriksson, Judith S Gravel, Sten O Hellstrom. Complications and sequelae. Annals of Otology, Rhinology, Larynngology, supplement-194 Jan 2005, Vol 114, No1, Part-2.

Saez-Llorens X- Brain abscess in children. Semin Pediatric infectious disease 2003, April,14(2): 108-14.

Perrido Nde O, Borin A, Iha L C, Suguri V M, Onishi E, Fukuda Y, Cruz O L. Intracranial complications of otitis media: 15 years experience in 33 cases. Otolaryngology Head and Neck Surgery: 2005 Jan; 132(1): 37-42.

Jovanovic MB, Jovanovic MD, Vidojevic M, Berisavac I, Milenkovic S, a double abscess of the cerebellum of otogenic origin. Srp Arh Celok Lek 2001, Nov-Dec:129(11-12) : 300-3.

Voronkin V. F, Avrorova O.P,Problems of diagnosis and treatment of otogenic abscess of brain in children. Vestn Otorhinolaryngology, 1991 September-october;(5); 39-41.

Yorgancilar E, Yildirim M, Gun R, Bakir S, Tekin R, Gocmez C, Meric F, Topcu I. Complications of chronic suppurative otitis media: a retrospective review. Eur Arch Otorhinolaryngol 2013 Jan;270(1):69-76. doi: 10.1007/s00405-012-1924-8. Epub 2012 Jan15.

Swapnil R. Pawar, Yogesh Shukla. A clinical study on complications of chronic suppurative otitis media and level of awareness in patients admitted at tertiary care hospital in central India. Int J Community Med Public Health. 2015; 2(3): 223-227doi: 10.18203/2394-6040.ijcmph20150286

Lela Migirov. Shay Duvdevani and Jona Kronenberg. Otogenic intracranial complication- A review of 28 cases. Acta-otolaryngologica, 2005; 125: 819-822.

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Published

06.04.2024

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REVIEW ARTICLE

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