Epidural abscess as a complication of acute mastoiditis in a 7-year-old child
Journal Title: Otolaryngologia Polska - Year 2010, Vol 64, Issue 5
Abstract
SUMMARY Introduction: Epidural abscess is the commonest intracranial complication of acute mastoiditis. In some cases this entity may pose a diagnostic problem. Materials and methods: We report a case of acute mastoiditis followed by an epidural abscess in the middle cranial fossa and a bone fistula to subtem-poral fossa. Localization of the abscess was revealed by means of computed tomography and magnetic resonance imaging of the head in early stage of the disease. Results: The treatment of choice was mastoidectomy with epitymanotomy, myringostomy, revision of zygomatic area to ensure drainage of the epidural abscess and intravenous antibiotics. After two years of observation the child is in a good condition with normal hearing. Conclusions: Osteolysis visualized on CT scan may suggest an intracranial complication occurrence. MRI should be performed to determine the precise localization of the abscess.
Authors and Affiliations
Jerzy Kuczkowski, Waldemar Narożny, Czesław Stankiewicz, Wojciech Brzozowski, Mirosława Dubaniewicz-Wybieralska, Łukasz Plichta
Keywords
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