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. 2016:2016:7810857.
doi: 10.1155/2016/7810857. Epub 2016 Sep 7.

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

X Y Yeoh  1 , P S Lim  1 , K C Pua  1
Affiliations

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

X Y Yeoh et al. Case Rep Otolaryngol. 2016.

Abstract

Intracranial complications of chronic otitis media have been on the decline with advent of antibiotics. Septic thrombosis of the sigmoid sinus is rarer compared to commoner complications such as otogenic brain abscesses and meningitis. This patient presented with recurrent infection after left mastoidectomy secondary to cholesteatoma and a contralateral internal jugular vein thrombosis with parapharyngeal abscess, which was drained. He recovered well postoperatively with antibiotics.

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Figures

Figure 1
Figure 1
(a and c) Wound dehiscence of the left mastoidectomy site discharging pus. (b) Right neck fullness.
Figure 2
Figure 2
(a) Left otoscopy showing mucopus at the mastoid cavity and external auditory canal. (b) Right inflamed and dull tympanic membrane.
Figure 3
Figure 3
CECT showing right IJV thrombosis with right parapharyngeal abscess and delta sign at the transverse sinus.
See this image and copyright information in PMC

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