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. 2017 Apr 6;4(2):ofx069.
doi: 10.1093/ofid/ofx069. eCollection 2017 Spring.

Otogenic Meningitis: A Comparison of Diagnostic Performance of Surgery and Radiology

Luca Bruschini  1 , Simona Fortunato  2 , Carlo Tascini  3 , Annalisa Ciabotti  1 , Alessandro Leonildi  2 , Belinda Bini  1 , Simone Giuliano  2 , Arturo Abbruzzese  4 , Stefano Berrettini  1 , Francesco Menichetti  2 ; GISA (Italian Group for Antimicrobial Stewardship) Meningitis Study Group
Affiliations

Otogenic Meningitis: A Comparison of Diagnostic Performance of Surgery and Radiology

Luca Bruschini et al. Open Forum Infect Dis. .

Abstract

Development of intracranial complications from middle ear infections might be difficult to diagnose. We compared radiological and surgical findings of 26 patients affected by otogenic meningitis. Results of our analysis showed that surgery is more reliable than imaging in revealing bone defects. Therefore, suggest that surgery be performed for diagnosis and eventual management of all cases of suspected otogenic meningitis.

Keywords: computed tomography; magnetic resonance imaging; middle ear infection; otogenic meningitis; surgery..

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Figures

Figure 1.
Figure 1.
Computed tomography scan of tegmen thympani dehiscence: false imaging negative.
Figure 2.
Figure 2.
Computed tomography scan of tegmen thympani and mastoid erosion: false imaging negative.
Figure 3.
Figure 3.
Computed tomography scan of meningocele: false imaging negative.
Figure 4.
Figure 4.
Magnetic resonance imagingI of indirect sign of meningocele: false imaging negative.
Figure 5.
Figure 5.
Computed tomography scan, coronal axial plane, of tegmen thympani dehiscence.
Figure 6.
Figure 6.
Computed tomography scan, coronal axial plane, of mastoid erosion.
Figure 7.
Figure 7.
Magnetic resonance imaging of meningoencephalocele.
See this image and copyright information in PMC

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