“…and rare causes like granulomatous polyangitis, tuberculosis, lymphoma, fungal mastoiditis, and Langerhans cell histiocytosis. 3 An untreated acute mastoiditis may cause significant and life-threatening complications like facial paralysis, suppurative labyrinthitis, lateral sinus thrombophlebitis, meningitis, epidural and subdural abscess, brain abscess, and otitic hydrocephalus. The decision to perform diagnostic imaging in acute mastoiditis is based on the clinical presentation of the individual patient, HRCT of the temporal bone with or without contrast-enhanced CT of the brain or contrast-enhanced MRI of the brain are suggested in complicated cases of acute mastoiditis, the latter especially to rule out intracranial complications.…”