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Abstract:
The neurological sequelae of malignant external otitis (MEO) form a characteristic syndrome. Following Pseudomonas external otitis, usually in an elderly, diabetic patient, either isolated facial nerve paralysis or multiple cranial nerve palsies develop. Once extensive neurological signs have developed, recovery rarely occurs. We saw a patient with MEO and multiple cranial nerve palsies who recovered following an extended course of gentamicin sulfate and carbenicillin disodium therapy.
Insights
Malignant external otitis (MEO) can cause serious neurological issues like facial paralysis. This case study shows a patient with MEO and multiple cranial nerve palsies who recovered with extended antibiotic treatment.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Malignant external otitis (MEO) is a severe infection often affecting elderly, diabetic patients.
- Neurological complications, including cranial nerve palsies, are characteristic sequelae of MEO.
Purpose of the Study:
- To report a case of MEO with multiple cranial nerve palsies.
- To highlight the potential for recovery with aggressive antibiotic therapy.
Main Methods:
- A case report of a patient with MEO and multiple cranial nerve palsies.
- Treatment involved an extended course of gentamicin sulfate and carbenicillin disodium.
Main Results:
- The patient with MEO and multiple cranial nerve palsies experienced recovery.
- Recovery occurred following prolonged administration of gentamicin and carbenicillin.
Conclusions:
- Aggressive and extended antibiotic treatment may lead to recovery in MEO patients with neurological deficits.
- This case suggests that neurological sequelae of MEO are not always irreversible.