Subdural empyema and cerebellar abscess due to chronic otitis media
Φόρτωση...
Ημερομηνία
Συγγραφείς
Polyzoidis, K. S.
Vranos, G.
Exarchakos, G.
Argyropoulou, M. I.
Korantzopoulos, P.
Skevas, A.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Int J Clin Pract
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
The infratentorial variety of the subdural empyema, with or without coexisting cerebellar abscess, is a rare clinical entity that carries a high mortality rate. We briefly describe the case of a 49-year-old man presented with severe debility, fever and an obviously neglected chronic otitis media. The patient had refused surgical treatment several months ago. After admission, his level of consciousness began to deteriorate, and the radiological studies showed infratentorial subdural suppuration extending into the right cerebellar hemisphere, along with chronic pyogenic infection of the middle ear and the mastoid process. Radical mastoidectomy was performed first, followed by extensive right posterior fossa craniectomy. The two subdural collections and the cerebellar abscess were successfully evacuated. Subsequently, he received post-operative antibiotic treatment for 6 weeks. At follow-up, 10 months after surgery, his neurological recovery was complete except for a minor residual cerebellar dysfunction on the right. This unusual case highlights that in patients presented with severe intracranial complications of chronic otitis media, early diagnosis and radical surgical intervention may be life saving.
Περιγραφή
Λέξεις-κλειδιά
Abscess/*microbiology, Anti-Bacterial Agents, Cerebellar Diseases/*microbiology, Citrobacter/isolation & purification, Drug Therapy, Combination/therapeutic use, Empyema, Subdural/*microbiology, Humans, Magnetic Resonance Imaging/methods, Male, Middle Aged, Otitis Media/*complications/microbiology, Staphylococcus aureus/isolation & purification, Treatment Outcome
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/15055872
http://onlinelibrary.wiley.com/store/10.1111/j.1368-5031.2004.0050.x/asset/j.1368-5031.2004.0050.x.pdf?v=1&t=h0tcdy4r&s=ed32c1c64b0489f2bec58ff0845f783eae5d11e6
http://onlinelibrary.wiley.com/store/10.1111/j.1368-5031.2004.0050.x/asset/j.1368-5031.2004.0050.x.pdf?v=1&t=h0tcdy4r&s=ed32c1c64b0489f2bec58ff0845f783eae5d11e6
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής