Ces radiol. 2012, 66(1):35-44

Otogenic inflammatory intracranial complications - pathogenesis, current perspective on diagnosis and treatmentCase report

Jana Dědková¹, Viktor Chrobok², Pavel Eliáš¹, Jan Žižka¹, Zdeněk Bělobrádek¹

¹ Radiologická klinika LF UK a FN, Hradec Králové

² Klinika otorinolaryngologie a chirurgie hlavy a krku LF UK a FN, Hradec Králové

In these three case reports is demonstrated today's perspective on the diagnosis and treatment of intracranial complications arising during an acute or chronic otitis media. These are serious diseases, that require the accurate diagnosis and rapid deployment of appropriate therapy. Among the intracranial complications are included the bordered otogenic inflammatory pachymeningitis, sigmoid sinus periflebititis, epidural and perisunusoidal abscess, thrombosis and thrombophlebitis of intracranial sinuses, diffuse suppurative inflammation of the brain round, subdural empyema, brain and cerebellar abscess. The basic role in the diagnosis of otogenic inflammatory intracranial complications plays the imaging , especially computed tomography (CT) and magnetic resonance imaging (MRI).The treatment of otogenic intracranial complications is based on the use of antibiotics and surgical rehabilitation of the temporal bone inflammation.

Keywords: cerebral and cerebellar abscesses, mastoiditis, meningitis, intracranial complications, otitis media, thrombophlebitis and thrombosis of the sigmoid sinus, CT, MRI

Accepted: December 20, 2011; Published: March 1, 2012  Show citation