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Traumatic cholesteatoma presenting as a brain abscess: a case report
Kshitij Majmundar1, Travis Shaw, Aristides Sismanis
1Department of Otolaryngology, Head and Neck Surgery, Virginia Commonwealth University Medical Center, Medical College of Virginia Hospitals and Physicians, Richmond, Virginia 23298, USA. mmajmundar@yahoo.com
Summary
Traumatic cholesteatomas from temporal bone fractures can lead to brain abscesses. Prompt surgical intervention and antibiotics are crucial for managing these rare but serious complications.
Area of Science:
- Otolaryngology
- Neurosurgery
- Radiology
Background:
- Traumatic cholesteatomas, rare complications of temporal bone fractures, can lead to serious intracranial infections.
- Prompt diagnosis and management are essential for favorable outcomes.
Observation:
- A case of otogenic brain abscess in a 21-year-old male resulted from an infected cholesteatoma originating from a temporal bone fracture line.
- The cholesteatoma involved the external auditory canal.
Findings:
- Successful treatment involved surgical drainage of the brain abscess, tympanomastoidectomy, and intravenous antibiotics.
- The patient, despite the severe complication, recovered well.
Implications:
- Long-term follow-up and timely imaging (CT scans) are recommended for patients with temporal bone fractures presenting with otologic symptoms.
- Aggressive surgical and antibiotic treatment is vital for cholesteatoma-related brain abscesses.