Intratemporal Complications From Acute Otitis Media in Children: 17 Cases in two Years

Pellegrini, S.; Macchi, M E González; Sommerfleck, Patricia Alejandra; Bernáldez, Patricia Cristina

doi:10.1016/j.otoeng.2011.06.005

Cited by 10 publications

(10 citation statements)

References 13 publications

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“…CT is less reliable. 19 Children Age 5 to 16 years (School Age) Concussion Cerebellar concussion is a clinical syndrome wherein a head injury is followed by transient deficits in functioning of the cerebellum, with intact consciousness throughout. Patients typically present with a wide-based gait, truncal instability, and dysarthria.…”

Section: Inner Ear Diseasementioning

confidence: 99%

Approach to Acute Ataxia in Childhood: Diagnosis and Evaluation

Sivaswamy¹

2014

Pediatr Ann

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Ataxia refers to motor incoordination that is usually most prominent during movement or when a child is attempting to maintain a sitting posture. The first part of the review focuses on the anatomic localization of ataxia -both within the nervous system and without -using a combination of historical features and physical findings. The remainder of the review discusses etiological considerations that vary depending on the age group under consideration. In infancy, certain specific diseases, such as opsoclonus myoclonus ataxia syndrome, must receive special mention because the underlying disease process may be amenable to surgical intervention. In the toddler-and school-age groups, certain conditions (such as stroke and acute cerebellitis) require immediate recognition and imaging, whereas others (such as post-infectious ataxia and concussion) require close follow-up. Finally, mention must be made of diseases outside of the central nervous system that can present with ataxia, such as Guillain-Barré syndrome.T he word ataxia is derived from the Greek word ataktos, which means "lack of order." Ataxia is characterized by disturbances in the voluntary coordination of posture and movement. In children, it is most prominent during walking (the sine qua non being a staggering gait with impaired tandem), but it can also be present during sitting or standing, or when the child is performing movements of the arms, legs, or eyes.This review focuses on the etiology and diagnostic considerations for acute ataxia, which for the purposes of this discussion refers to ataxia with a symptom evolution time of less than 72 hours.

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Section: Inner Ear Diseasementioning

confidence: 99%

Approach to Acute Ataxia in Childhood: Diagnosis and Evaluation

Sivaswamy¹

2014

Pediatr Ann

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“…The most common intracranial complications (ICCs) of OM are meningitis, cerebral abscess, lateral sinus thrombosis (LST), extradural abscess, otitic hydrocephalus, and encephalitis. 8 , 9 , 10 , 11 Reported incidences for these complications (summarized in Table 1 ) range widely.…”

Section: Introductionmentioning

confidence: 99%

Complications of otitis media – a potentially lethal problem still present

Penido

Chandrasekhar²,

Borin

et al. 2016

Brazilian Journal of Otorhinolaryngology

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“…The orbital apex is formed by the optic canal with the optic nerve and very close to the superior orbital fissure which contains numerous neurovascular structures of the cranium (11) . It can spread through these channels to the intracranial compartment, leading to meningitis, intracranial abscess, and venous sinus thrombosis, and can be fatal if the infection is not treated effectively (12) . PNS mucormycosis can cause complications as seen in rhino-orbito-cerebral mucormycosis, including headache, fever, sinusitis, facial swelling, and unilateral OAS.…”

Section: Discussionmentioning

confidence: 99%

Facial nerve palsy as an unusual presentation of orbital apex syndrome

R¹,

Yu²,

Giap³

et al. 2021

Pediatr Med Rodz

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Clinical cases of orbital apex syndrome are rare and most commonly manifested as a complication of fungal sinusitis, mainly in immunocompromised and poorly controlled diabetic patients. Rhino-orbital mucormycosis is a rare opportunistic, aggressive and fatal infection caused by mucor. The complex presentation of orbital apex syndrome not only poses a diagnostic challenge but also demands a multidisciplinary approach in patient management. Facial nerve palsy is an unusual presentation in orbital apex syndrome. We report the case of a 64-year-old diabetic patient presenting with ophthalmoplegia and visual loss associated with facial nerve palsy. Prompt ophthalmologic and otolaryngologic intervention with imaging and histologic confirmation, followed by early initiation of antifungal and antimicrobial therapy, were integral to preventing further complications, and reducing morbidity and mortality.

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Intratemporal Complications From Acute Otitis Media in Children: 17 Cases in two Years

Cited by 10 publications

References 13 publications

Approach to Acute Ataxia in Childhood: Diagnosis and Evaluation

Approach to Acute Ataxia in Childhood: Diagnosis and Evaluation

Complications of otitis media – a potentially lethal problem still present

Facial nerve palsy as an unusual presentation of orbital apex syndrome

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