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Published on: February 29, 2020
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Silent otitis media with multiple intracranial complications.
Valli Rajasekaran1, Lekhaa Mohanraj2, Nithya Dharani Prabhu1
1Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth- Deemed to be-University, Pondicherry, India.
BMJ Case Reports
|December 11, 2024
Summary
A man with otomastoiditis developed serious intracranial complications, including brain abscesses. Prompt surgical intervention and antibiotics led to a full recovery, highlighting the importance of timely treatment for severe ear infections.
Area of Science:
- Otolaryngology
- Neurosurgery
- Infectious Diseases
Background:
- Otomastoiditis, an infection of the middle ear and mastoid bone, can lead to severe intracranial complications.
- Early diagnosis and management are crucial to prevent morbidity and mortality.
Purpose of the Study:
- To report a rare case of extensive intracranial complications secondary to otomastoiditis.
- To emphasize the diagnostic and therapeutic challenges and outcomes.
Main Methods:
- High-resolution computed tomography (CT) of the temporal bone was used to diagnose otomastoiditis and suspected cortical breach.
- Contrast-enhanced magnetic resonance imaging (MRI) identified pachymeningitis, subdural empyema, and brain abscesses.
- Surgical evacuation of the abscess and cortical mastoidectomy were performed.
Main Results:
- A 4x3 cm swelling over the right mastoid region was noted.
- CT revealed otomastoiditis with suspected mastoid cortical breach.
- MRI demonstrated a mastoid cortical defect with adjacent pachymeningitis, subdural empyema, and cerebellar and temporal lobe abscesses.
Conclusions:
- Otomastoiditis can present with severe intracranial complications requiring multidisciplinary management.
- Prompt surgical intervention and appropriate antibiotic therapy are essential for favorable outcomes.
- Regular follow-up is necessary to ensure complete recovery.
