Extensive Cholesteatomas: Presentation, Complications and Management Strategy

Prasad, Kishore Chandra; Vyshnavi, V.; Abhilasha, K.; Koneru, Prathyusha; Anjali, P. K.; Varsha, Gupta

doi:10.1007/s12070-020-01948-0

Indian J Otolaryngol Head Neck Surg

2020

DOI: 10.1007/s12070-020-01948-0

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Extensive Cholesteatomas: Presentation, Complications and Management Strategy

Kishore Chandra Prasad¹,

V. Vyshnavi²,

K. Abhilasha³

et al.

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2024

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Cited by 3 publications

References 8 publications

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Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

Altaf,

Ashfaq,

Arshad

et al. 2024

Indian J Otolaryngol Head Neck Surg

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Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

Altaf,

Ashfaq,

Arshad

et al. 2024

Indian J Otolaryngol Head Neck Surg

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Cranial nerves bridging the middle ear and cerebellum causing cerebellar peduncle abscess: A case report

Shrestha,

Sandhu,

Jensen

et al. 2024

Acta Radiologica Open

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Cerebellar abscess is a reported complication of chronic suppurative otitis media (CSOM) and is life threatening at times. It usually develops by direct spread of CSOM through the bony erosion in the petrous bone or by thrombophlebitis of the sigmoid sinus. However, an alternative pathway of infection transmission from the petrous bone to the cerebellum through the anatomical bridge of the cranial nerves has possibly not been described before. A 63-year-old female patient with CSOM and cholesteatoma developed ataxia and right facial palsy. Computed tomography (CT) showed bone erosion of the right petrous bone suggesting middle ear infection. Post-contrast MRI revealed an enhancement of swollen 7th/8th nerve complex, suggesting neuritis, and cholesteatoma in the right petrous bone. It also showed ring enhancing lesion in the cerebellar peduncle of the same side suggesting brain abscess. Surgical intervention was performed emergently and pus aspirated. She also underwent mastoidectomy and removal of cholesteatoma later by the otolaryngology team and finally got better. This case illustrates that CSOM can cause cerebellar abscess by spreading infection via anatomical bridge of the cranial nerves without direct invasion from the temporal bone or thrombophlebitis of sinus.

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Recurrent Cholesteatoma Invading the Internal Auditory Canal and Cerebellar Pontine Angle

Clarke,

Gandolfi

2024

IJOHNS

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Extensive Cholesteatomas: Presentation, Complications and Management Strategy

Cited by 3 publications

References 8 publications

Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media

Cranial nerves bridging the middle ear and cerebellum causing cerebellar peduncle abscess: A case report

Recurrent Cholesteatoma Invading the Internal Auditory Canal and Cerebellar Pontine Angle

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