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Bilateral otogenic cerebellar abscesses

T D Nadkarni1, R Bhayani, A Goel

  • 1Dept of Neurosurgery, Seth GS Medical College and KEM Hospital, Parel, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|January 1, 1993
PubMed
Summary
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This report details two cases of rare bilateral otogenic cerebellar abscesses. Prompt diagnosis via imaging and surgical intervention with antibiotics led to successful treatment.

Area of Science:

  • Otolaryngology
  • Neurology
  • Infectious Disease

Background:

  • Otogenic cerebellar abscesses are uncommon infections.
  • Bilateral presentations are particularly rare, posing diagnostic challenges.

Observation:

  • Two patients presented with a history of ear discharge (otorrhoea), fever, headache, and vomiting.
  • Both patients exhibited bilateral cerebellar signs and conductive hearing loss.

Findings:

  • Computerised tomography (CT) confirmed bilateral cerebellar abscesses.
  • X-rays revealed associated bilateral mastoiditis.

Implications:

  • Prompt diagnosis and surgical intervention are crucial for managing otogenic cerebellar abscesses.

Related Experiment Videos

  • Combined surgical treatment (abscess excision, mastoidectomy) and antibiotic therapy offer a successful management strategy.