ArticleCureus2024
Otitis Media and Its Intracranial Complications: A Delicate Scenario.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intracranial complications of otitis media are rare but pose a significant risk of morbidity and mortality. We report a case of a 27-year-old man with cognitive impairment who presented with fever, right-sided otalgia, otorrhea, and vomiting for three days. His neurological examination was unremarkable, and a brain computed tomography (CT) revealed right-sided otomastoiditis without intraparenchymal lesions. Despite intravenous antibiotic therapy, the patient's condition deteriorated within 24 hours, with worsening fever, fluctuating consciousness, and signs of meningeal irritation. A follow-up computed tomography revealed tympanic erosion, right temporal cerebritis, and edema. The patient underwent tympanomastoidectomy; however, seven days later, a brain magnetic resonance imaging (MRI) showed a brain abscess and subdural empyema. Surgical drainage was performed, and the patient completed a 13-week course of antimicrobial therapy, achieving a favorable clinical and imaging outcome. This case highlights the importance of early diagnosis and intervention in improving the prognosis of patients with intracranial complications of otitis media.
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