意識障害をきたした巨大中耳真珠腫例

DOI Web Site 被引用文献1件 参考文献20件
  • 田中 紀充
    鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学聴覚頭頸部疾患学
  • 福岩 達哉
    鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学聴覚頭頸部疾患学
  • 西園 浩文
    西園耳鼻咽喉科クリニック
  • 黒野 祐一
    鹿児島大学大学院医歯学総合研究科先進治療科学専攻感覚器病学聴覚頭頸部疾患学

書誌事項

タイトル別名
  • A Case of Otogenic Intracranial Complications
  • リンショウ イシキ ショウガイ オ キタシタ キョダイ チュウジ シンジュ シュレイ

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Although the incidence of otogenic intracranial complications is decreasing, these complications are still serious problems in the otological field. We experienced a case of otogenic intracranial complications due to a giant cholesteatoma in a 77-year-old female. When she was transported to our hospital, she was unconscious. Examination by CT and MRI showed extradural abscess, brain edema and the destruction of the temporal bone. The anatomy of the ossicles and mastoid antrum was not detected. Abscess drainage by a retroauricular incision and the removal of the cholesteatoma were performed immediately. The day after surgery, the patient regained consciousness. The reason she had not complained of severe symptoms before she fell into a coma was not clearly explained. Since the cholesteatoma progressed slowly, central compensation might have been obtained. The present case suggests that immediate treatment is necessary for intracranial complications with advanced cholesteatoma, even if the symptoms are not specific and severe.

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