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Intracranial Complication as a Manifestation of Clinical Onset in a Child With Insidious Ear Infection

Samuel Chu1, Farhana A1, Farid R1

  • 1Otolaryngology - Head and Neck Surgery, Hospital Shah Alam, Shah Alam, MYS.

Cureus
|July 27, 2022
PubMed

Insights

Acute mastoiditis can cause rare brain abscesses, even without ear symptoms. This case highlights the importance of considering intracranial complications in children with non-specific illness, even without typical ear complaints.

Area of Science:

  • Otolaryngology
  • Pediatric Neurology
  • Infectious Diseases

Background:

  • Acute mastoiditis, a common complication of acute otitis media, can rarely lead to intracranial complications.
  • Intracranial complications from middle ear infections are infrequent but serious.
  • Typical symptoms include otorrhea, otalgia, and fever.

Observation:

  • A child presented with non-specific symptoms and no otological complaints.
  • Clinical assessment and imaging were crucial for diagnosis.
  • The child had an otogenic brain abscess concurrent with mastoiditis.

Findings:

  • The case demonstrates a rare presentation of intracranial complication.
  • Non-specific symptoms can mask serious underlying conditions like otogenic brain abscess.
  • Prompt diagnosis and intervention are vital.

Implications:

  • This case underscores the need for a high index of suspicion for intracranial complications in pediatric patients, even with atypical presentations.
  • Multidisciplinary management involving medical and surgical teams is essential for favorable outcomes.
  • Highlights the importance of advanced imaging in diagnosing subtle but severe conditions.
Keywords:
acute otitis mediacomplications of acute mastoiditisintracranial abscessotolaryngology-head and neck surgerypediatric ent

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