Otogenic intracranial abscesses

Kulali, A.; Özatik, N.; Topçu, İsmail

doi:10.1007/bf01405793

Cited by 23 publications

(17 citation statements)

References 52 publications

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“…Regarding the number of otogenic brain abscesses in the brain the fi ndings of this study corroborates with that of the other workers [1,3,4]. Only 1 patients (6.25%) had multiple brain abscesses, rest of the cases had single brain abscess (Fig.…”

Section: Discussionsupporting

confidence: 90%

“…Signifi cant percentage of brain abscesses are of otogenic origin. Otogenic brain abscess almost always develop in the temporal lobe area [1,3,5] in or in the cerebellum region [2,7]. In childrens 25% of all brain [4,6,8] abscesses are otogenic, while in the adults the incidence of brain abscess is >50% due to chronic ear diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Fistula test, was done in every cases. Neurological examinations were performed, consciousness, neck rigidity, Kernig's sign [1,4], cerebeller signs [3,7], cranial nerve examinations [1,3,8], muscle power and tone, planter refl ex and jerks, papillary reactions, nystagmus, opthalmoscopy, speech, gait, etc. were looked for.…”

mentioning

confidence: 99%

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Clinicopathological study of otogenic brain abscess

Sengupta

Ghosh

Basak

et al. 2009

Indian J Otolaryngol Head Neck Surg

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Chronic suppurative otitis media (CSOM) is one of the commonest disease entities encountered in otolaryngology practice. Due to poor economic conditions poor hygiene lack of education and death of knowledge about the disease and its complications, we frequently encounter patients of CSOM with extracranial and intracranial complications. Among the intracranial complications otogenic brain abscess is one of the dreadest. With the improvement of healthcare and accessibility of the poor people to healthcare system and development of CT scan, MRI as diagnostic tools incidence of otogenic brain abscess is becoming less due to early diagnosis and interventions. The objectives of this study are to assess the incidence of brain abscesses to explore age, sex, variation to study clinical presentations and common pathogens responsible.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Clinicopathological study of otogenic brain abscess

Sengupta

Ghosh

Basak

et al. 2009

Indian J Otolaryngol Head Neck Surg

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“…The symptomatology of these complications is slow in development and the clinical diagnosis is at times difficult. Although, the mortality rate has been reduced, the incidence of brain abscess has remained almost unchanged [2]. CT scan has formed the mainstay in the diagnosis of patients of brain abscess in recent years.…”

Section: Introductionmentioning

confidence: 99%

Role of CT Scan in Diagnosis and Management of Otogenic Intracranial Abscess

Prashanth

Pandya

2011

Indian J Otolaryngol Head Neck Surg

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The existence of complications of suppurative otitis media and efforts to control it go far back into history. Early diagnosis and management have been greatly modified by the extensive use of CT scan and higher antibiotics. Despite an overall decline in the incidence of complications of otitis media, severe complications still exist with high mortality. Suggested reasons are decrease in physician's experience and changing of the virulence and susceptibility of causative organism. This series is a prospective study of 18 cases of otogenic brain abscess, carried out in Department of ENT and Head & Neck Surgery, SSG Hospital, Baroda from June 2005 to June 2008. We emphasize on confirmation of resolution of brain abscess by CT scan. This will eliminate recurrent/residual abscess and help in reduced overall mortality and morbidity.

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“…Patients who present with altered mental status have more advanced disease and have a higher mortality rate. [10] Spread beyond middle ear cleft can occur due to destruction by cholesteatoma, through fracture lines, preformed pathways, through the Haversian system of veins or through the periarterial space of Virchow Robin. In this era of antibiotics, incidence of complications is reduced due to awareness of disease, advances in diagnostic, and treatment modalities.…”

Section: Discussionmentioning

confidence: 41%

Transmastoid approach to otogenic brain abscess: 14 years experience

2011

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Objectives: Objectives of this study were to review our experience in on otogenic brain abscess and its management by transmastoid drainage and compare the results. Materials and Methods: All patients with brain abscess secondary to CSOM presenting to our department from January 1997 to December 2010 were included in this study. All patients subjected to clinical, neurological, opthalmological examination and CT scan was done as an imaging modality. All patients managed by radical mastoidectomy or modified radical mastoidectomy and transmastoid drainage of brain abscess as neurosurgical facility not available. Results: Seventy-two patients in whom brain abscess secondary to chronic suppurative otitis media was diagnosed and has been treated since 1997 are presented. 85% of patients were below 20 years of age. More than 50% patients presented with more than one complication of chronic suppurative otitis media. 85% of patients were having extensive cholesteatoma and 15% patients were having extensive granulations in middle ear and mastoid air cells. 83% patients were having cerebellar abscess while 17% patients were having temporal lobe abscess. 80% of the pus culture was sterile while in 20% patients various microorganisms such as Proteus spp., Escherichia coli, Pseudomonas aeruginosa, Staphylococcus spp., and Streptococcus spp were cultured. Overall mortality in this series was 4.4%. Conclusion: In diagnosis of otogenic brain abscess CT scan with constrast is of immense help. Transmastoid drainage of brain abscess is a safe and effective method that can be performed by otologists in cases of otogenic brain abscess.

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Otogenic intracranial abscesses

Cited by 23 publications

References 52 publications

Clinicopathological study of otogenic brain abscess

Clinicopathological study of otogenic brain abscess

Role of CT Scan in Diagnosis and Management of Otogenic Intracranial Abscess

Transmastoid approach to otogenic brain abscess: 14 years experience

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