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Changing trends in intracranial abscesses secondary to ear and sinus disease

S Tandon1, N Beasley, A C Swift

  • 1Department of Otolaryngology, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK. sank.tandon@gmail.com

The Journal of Laryngology and Otology
|May 20, 2008
PubMed
Abstract

Insights

Intracranial abscesses from ear disease have decreased, but those from sinus disease remain unchanged. Early detection of these serious brain infections is crucial despite improved outcomes.

Area of Science:

  • Neurosurgery
  • Infectious Diseases
  • Otolaryngology

Background:

  • Intracranial abscesses are serious complications of ear and sinus infections.
  • Historically, these conditions have carried significant morbidity and mortality.

Purpose of the Study:

  • To review the management of intracranial abscesses.
  • To identify causative organisms, morbidity, and mortality.
  • To compare outcomes between ear and sinus disease-related abscesses over time.

Main Methods:

  • Retrospective case note review of patients with intracranial abscesses.
  • Data collected from a regional neurosurgical center (1980-2004).
  • Comparison with historical data (1950-1979).

Main Results:

  • Significant reduction in mortality and incidence of ear-related intracranial abscesses.
  • No significant change in sinus-related abscesses regarding presentation, location, or long-term morbidity.
  • Streptococcal species were predominant, with a high prevalence of anaerobes in otogenic abscesses.

Conclusions:

  • Improved outcomes noted, particularly for ear-related abscesses.
  • A high index of suspicion is necessary for intracranial complications of ear or sinus disease.
  • Prompt recognition and management remain critical for favorable outcomes.

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