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Posterior cranial fossa abscess secondary to cholesteatoma


, : Posterior cranial fossa abscess secondary to cholesteatoma. Revue de Laryngologie - Otologie - Rhinologie 127(3): 161-163

The intra cranial complications of chronic ear disease continue to pose a challenge in Senegal, despite advances in anti microbial therapy. Posterior cranial fossa abscesses are rare and continue to be associated with significant morbidity and mortality rates. We describe the presentation and management of a large cerebellar abscess secondary to cholesteatoma. A 11-year-old female presented with an inflammed fluctuant swelling of the right temporal region with ipsilateral otorrhoea. Examination demonstrated an auto atticotomy, large marginal perforation of the tympanic membrane associated with polyp. A diagnosis of otomastoiditis secondary to cholesteatoma was made. The abscess of the right temporal region was incised and drained and the patient was commenced on broad spectrum antibiotics. However the patients clinical status did not improve and there was a deterioration in her neurological status. CT brain and temporal bones demonstrated a large abscess in the cerebellum. 30 CC of pus were drained through a posterior fossa burr hole by the neurosurgeons. A radical mastoidectomy for extensive cholesteatoma of the right ear was subsequently carried out when the patients condition improved. Cerebellar abscess is a life threathning condition. In the presence of complicated chronic ear disease, clinical suspicion must be high as early symptoms and signs may be misleading. A low threshold for the performance of brain imagining will aid early diagnosis and allow prompt definitive treatment.

US$29.90

PMID: 17007189


Other references

Maron, B.A.; Leopold, J.A., 2010: Aldosterone receptor antagonists: effective but often forgotten. Circulation 121(7): 934-939

Pagano R.E.; Longmuir K.J.; Martin O.C., 1983: Intra cellular translocation and metabolism of a fluorescent phosphatidic acid analog in cultured fibroblasts. The metabolism and intracellular translocation of a fluorescent derivative of phosphatidic acid, 1-acyl-2-[(N-4-nitrobenzo-2-oxa-1,3-diazole)aminocaproyl] phosphatidic acid (C6-NBD-PA) and its metabolites were investigated in Chinese hamster fibro...

Tanaka S.; E.A., 1991: A case of pemphigus vulgaris with mucosal lesions in the upper respiratory tract. A case of pemphigus vulgaris with mucosal lesions in the upper respiratory tractis reported. A 63-year-old female complained of oral pain, sore throat and hoarseness. The clinical examination revealed multiple white coatings and bleeding erosions...

Lambertini, M., 1990: Il gruccione. Uccelli, 252-3: 4-6

Dolan, G.P.; Stone, D.H.; Briggs, A.H., 2010: A systematic review of continuous performance task research in children prenatally exposed to alcohol. The aim of this study was to review systematically, research investigating an association between the continuous performance task (CPT) in children and exposure to alcohol in utero, in order to identify any evidence of a specific deficit in perfor...

Burger A.G.; Berger M.; Wimpfheimer K.; Danforth E., 1980: Interrelationships between energy metabolism and thyroid hormone metabolism during starvation in the rat. Thyroid hormone metabolism and plasma TSH [thyrotropin] concentrations were studied after short-term hypocaloric refeeding of rats starved for 2-6 days. Carbohydrate and protein (10 kcal) refeeding after 4 days of starvation resulted in a rapid in...

Capasso, F.; Balestrieri, B.; D.R.sa, M.; Persico, P.; Sorrentino, L., 1975: Enhancement of carrageenin foot oedema by 1,10 -phenanthroline and evidence for the bradykinin as endogenous mediator. Carrageenin oedema in enhanced by the simultaneous injection in the rat paw of 1,10-phenanthroline, a kininase inhibitor. The analysis of the time-course of this enhancement showed that the maximal effect was observed about 3 hours after the injec...

Rothmund, M., 2001: Progress in surgery--progress in people's minds. Deutsche Medizinische Wochenschrift 126(17): 481-482

Coon, V.; Donato, G.; Houser, C.; Bleck, E.E., 1975: Normal ranges of hip motion in infants six weeks, three months and six months of age. Flexion contracture, internal rotation and external rotation of the hip were reported in 40 infants at 6 weeks and 3 months and in an independent sample of 40 infants at 6 months of age. Population means and normal ranges of motion were determined...

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