Subdural empyema and cerebellar abscess due to chronic otitis media

dc.contributor.authorPolyzoidis, K. S.en
dc.contributor.authorVranos, G.en
dc.contributor.authorExarchakos, G.en
dc.contributor.authorArgyropoulou, M. I.en
dc.contributor.authorKorantzopoulos, P.en
dc.contributor.authorSkevas, A.en
dc.date.accessioned2015-11-24T18:50:03Z
dc.date.available2015-11-24T18:50:03Z
dc.identifier.issn1368-5031-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18030
dc.rightsDefault Licence-
dc.subjectAbscess/*microbiologyen
dc.subjectAnti-Bacterial Agentsen
dc.subjectCerebellar Diseases/*microbiologyen
dc.subjectCitrobacter/isolation & purificationen
dc.subjectDrug Therapy, Combination/therapeutic useen
dc.subjectEmpyema, Subdural/*microbiologyen
dc.subjectHumansen
dc.subjectMagnetic Resonance Imaging/methodsen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectOtitis Media/*complications/microbiologyen
dc.subjectStaphylococcus aureus/isolation & purificationen
dc.subjectTreatment Outcomeen
dc.titleSubdural empyema and cerebellar abscess due to chronic otitis mediaen
heal.abstractThe 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.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15055872-
heal.identifier.secondaryhttp://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-
heal.journalNameInt J Clin Practen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2004-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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