小脳膿瘍を伴った真珠腫性中耳炎例  [in Japanese] Otogenic Cerebellar Abscess Secondary to Middle Ear Cholesteatoma  [in Japanese]

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Author(s)

Abstract

We report a case of cerebellar abscess and sigmoid sinus thrombophlebitis secondary to middle ear cholesteatoma. A 77-year-old female was referred to our clinic with right otorrhea, earache, headache, fever and gate disturbance. CT revealed bony destruction in the posterior fossa of the temporal bone and a cerebellar abscess in the right cerebellum. Emergency abscess drainage via a posterior fossa approach was performed by neurosurgeons, followed by total removal of the cholesteatoma 47 days later. Eight months after the surgery, she recovered her previous mental and physical level and showed no complications.<br>The mortality of intracranial complications such as cerebellar abscess, brain abscess, meningitis and sigmoid sinus thrombosis has decreased recently due to the availability of the preantibiotic treatment. However, typical symptoms are often masked by proceeding antibiotic therapy and it is important to reduce mortality from otogenic complications by early diagnosis and precise treatment in the early stage.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 94(5), 405-410, 2001-05-01

    The Society of Practical Otolaryngology

References:  23

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008096366
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00326313
  • Data Source
    CJP  CJPref  J-STAGE 
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