Case of Chronic Otitis Media with Intracranial Complication and Contralateral Extracranial Presentation

Area of Science:

• Otolaryngology
• Neurosurgery
• Infectious Diseases

Background:

• Intracranial complications from chronic otitis media are decreasing due to antibiotics.
• Septic thrombosis of the sigmoid sinus is a rare complication.
• Other common complications include brain abscesses and meningitis.

Purpose of the Study:

• To report a rare case of sigmoid sinus thrombosis.
• To discuss management of complex otogenic infections.
• To highlight successful outcomes with surgical and antibiotic treatment.

Main Methods:

• Case report of a patient with recurrent otitis media.
• Management involved mastoidectomy, drainage of parapharyngeal abscess, and antibiotics.
• Contralateral internal jugular vein thrombosis was also managed.

Main Results:

• The patient presented with recurrent infection post-mastoidectomy.
• A contralateral internal jugular vein thrombosis and parapharyngeal abscess were identified.
• The patient recovered well following surgical drainage and antibiotic therapy.

Conclusions:

• Septic thrombosis of the sigmoid sinus, though rare, requires prompt recognition and management.
• Multifaceted infections secondary to chronic otitis media can be successfully treated.
• Antibiotics and surgical intervention are crucial for favorable outcomes.