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Case Reports
. 2022 Oct 18;14(10):e30430.
doi: 10.7759/cureus.30430. eCollection 2022 Oct.

Otogenic Brain Abscess: Judicious Management in a Case of Chronic Suppurative Otitis Media

Senu Sunnychan  1 , Prasad Deshmukh  1 , Sagar S Gaurkar  2 , Arjun Panicker  1 , Aishwarya Vijayappan  1
Affiliations
Case Reports

Otogenic Brain Abscess: Judicious Management in a Case of Chronic Suppurative Otitis Media

Senu Sunnychan et al. Cureus. .

Abstract

Intracranial consequences from chronic otitis media can be dreadful. Meningitis is the most frequent complication followed by a cerebral abscess. In this pre-antibiotic era, otogenic brain abscess is rare, but it poses one of the life-threatening complications of otitis media. In recent years, brain abscess was noticed almost only in patients of chronic Otitis media with cholesteatoma. A case of a 36-year-old non-diabetic male patient with an otogenic cerebellar abscess, who presented with no cerebellar signs and unique intraoperative ossicular chain status was successfully managed by a combined approach of otolaryngology and neurosurgery, is presented in this report.

Keywords: burr hole drainage; cerebellar abscess; chronic suppurative otitis media; intracranial complication; modified radical mastoidectomy; otogenic brain abscess.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Microscopic examination image
Examination under a microscope showing the right external auditory canal with fleshy mass (white arrow).
Figure 2
Figure 2. CT brain (axial section)
The arrow shows hypodensity in the right hemisphere of the cerebellum
Figure 3
Figure 3. T2 weighted MRI brain (axial section)
The image is showing a peripherally rim-enhancing altered signal intensity lesion in the right cerebellar hemisphere (arrow).
Figure 4
Figure 4. Right otogenic cerebellar abscess drained by burr hole technique
See this image and copyright information in PMC

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