Intracranial complications of chronic suppurative otitis media in children

Miura, M.; Krumennauer, Rita C.; Neto, José Faibes Lubianca

doi:10.1016/s1808-8694(15)31269-6

Cited by 19 publications

(28 citation statements)

References 6 publications

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“…The non-neoplastic lesions encountered were cerebellar abscess and arachnoid cyst. Six out of eight patients with cerebellar abscess had history of fever, drowsiness and chronic suppurative otitis media similar to the findings of Miura et al 3 The arachnoid cyst was seen in the age group 30 -35 years with all the three cases being situated in the cerebellum. In a study by Galarza et al, the posterior fossa arachnoid cysts were located at the vermis-cisterna magna (n= 4), the cerebellar hemispheres (n= 2), the cerebellopontine angle (n= 3) and the quadrigeminal cistern (n= 1).…”

Section: Discussionsupporting

confidence: 80%

Posterior Cranial Fossa Lesions- A Clinicopathological Correlative Study

Priya¹,

Kurien²

2017

jemds

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BACKGROUNDPosterior cranial fossa houses the cerebellum and brainstem that contains all cranial nerve nuclei and many afferent fibre tracts that connect the brain with the rest of the body. Early diagnosis of posterior fossa lesions is vital to prevent complications like herniation and brainstem compression that is invariably fatal.The present study is an attempt to collect the demographic profile and types of posterior fossa lesions. We also assessed the extent of correlation between clinical and radiological diagnosis and the diagnosis on histopathology.

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Section: Discussionsupporting

confidence: 80%

Posterior Cranial Fossa Lesions- A Clinicopathological Correlative Study

Priya¹,

Kurien²

2017

jemds

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“…In spite of the fact that the complications of CSOM can be fatal [3,4], hearing impairment is regarded the main health issue. Furthermore, the conductive hearing impairment resulting from this condition has been well acknowledged in the literature [5].…”

Section: Introductionmentioning

confidence: 99%

Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media

Kolo

Salisu

Yaro

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Even though there are other complications of chronic suppurative otitis media, the aspect of hearing loss is often studied. Nevertheless, the occurrence of sensorineural hearing loss in patients with this disease is still controversial. This study aim (1) to assess the association between sensorineural hearing loss and chronic suppurative otitis media, (2) to investigate some clinical factors that might affect the sensorineural component in patients with this disease. This was a retrospective analysis of the clinical records and pure tone audiograms of patients with chronic suppurative otitis media in a Nigerian Tertiary Health Institution from January 2003 to December 2008. Sixty-nine patients with a mean age of 28.93 years; standard deviation of 18.593 were studied. They had an age range of 4-73 years. The duration of otorrhea ranged from 2 months to 20 years; with a mean of 6.11 years (standard deviation of 6.393). The mean bone conduction threshold in the diseased ear was 39.07 dB (standard deviation of 12.028), and 10.26 dB (standard deviation of 2.620) in the control ear (P \ 0.05). The mean bone conduction threshold differences between the diseased and control ears range from 21.69 to 34.52 dB across the frequencies 0.5, 1.0, 2.0, and 4.0 kHz. These differences tended to increase with increasing frequency and were all significant (P \ 0.05). In the diseased ears, there were no significant correlation between the age, duration of otorrhea, and the degree of SNHL (r = 0.186, P [ 0.05; r = 0.190, P [ 0.05 respectively). Patients with chronic suppurative otitis media had a significant degree of sensorineural hearing loss in this study. The higher frequencies were more affected; however, the patient's age and duration of otorrhea seem not to have any correlation with the degree of sensorineural hearing loss.

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“…Nos casos em que esta se associa a OMC, na maioria dos casos deve ser realizada ampla mastoidectomia com exploração de provável deiscência na dura e sua reparação. 1 Apesar de pouco frequente na maioria dos estudos consultados, a trombose do seio lateral (TSL) aparece no nosso estudo em 14,3% dos casos. Já o empiema epidural verificou-se em três casos (10,7% …”

Section: Resultadounclassified

“…1 Elas manifestam-se de forma aguda e são urgências médicas e cirúrgicas. São definidas como disseminação do processo inflamatório/infecioso para além dos espaços pneumatizados do ouvido médio e da sua mucosa.…”

Section: Introductionunclassified

“…2 A manifestação clínica de uma complicação intracraniana otogénica varia de acordo com a mesma. 1 No caso da meningite, a apresentação geralmente é evidente, com cefaleias, rigidez da nuca, perda de consciência, agitação, fotofobia, entre outros sintomas. Quando se segue a uma otite média aguda é quase sempre resultado da disseminação hematogénica.…”

Section: Introductionunclassified

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Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

Pereira

Miranda

Breda

et al. 2017

Gaz Med

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RESUMOINTRODUÇÃO: As complicações intracranianas de otite média representam uma situação relacionada com alta taxa de mortalidade, manifestando-se de forma aguda e constituindo urgências médicas e cirúrgicas. São definidas como disseminação do processo inflamatório/infecioso para além dos espaços pneumatizados do ouvido médio, tendo variadas formas de apresentação. MATERIAL E MÉTODOS: Consulta dos processos clínicos dos doentes com patologia otológica e patologia intracraniana entre 2008 e 2014 admitidos no Hospital de Braga. Características dos pacientes, diagnósticos otológicos e neurológicos, resultados microbiológicos, abordagem terapêutica e evolução clínica foram os parâmetros analisados. RESULTADOS: Obteve-se um total de 19 doentes, com uma idade média de 40,4 anos. Febre persistente e cefaleias foram os principais sintomas encontrados. Otite média aguda foi o diagnóstico otológico mais associado a complicação intracraniana. Seis pacientes apresentavam mais do que uma complicação, resultando num total de 28, quase metade das quais correspondendo a meningite. DISCUSSÃO: Após comparação com estudos semelhantes da literatura, verificamos que os nossos resultados são semelhantes aos já encontrados, exceto no que diz respeito à principal etiologia das complicações intracranianas. CONCLUSÃO: As complicações intracranianas de otite média devem ser consideradas situações de alto risco que requerem intervenção médica imediata. PALAVRAS-CHAVE

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Intracranial complications of chronic suppurative otitis media in children

Abstract: Series review.

Cited by 19 publications

References 6 publications

Posterior Cranial Fossa Lesions- A Clinicopathological Correlative Study

Posterior Cranial Fossa Lesions- A Clinicopathological Correlative Study

Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media

Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

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