Traumatic cholesteatoma presenting as a brain abscess: a case report.
Otol Neurotol
; 26(1): 65-7, 2005 Jan.
Article
en En
| MEDLINE
| ID: mdl-15699721
ABSTRACT
OBJECTIVE:
To discuss the clinical aspects and management of traumatic cholesteatomas of the temporal bone. STUDYDESIGN:
Case report.SETTING:
University hospital, tertiary referral center. PATIENT, INTERVENTION, ANDRESULTS:
The authors describe an uncommon case of otogenic brain abscess resulting from an infected cholesteatoma arising from an old temporal bone fracture line involving the external auditory canal in an otherwise healthy 21-year-old man. The patient was successfully treated with brain abscess drainage, tympanomastoidectomy, and broad-spectrum intravenous antibiotic therapy.CONCLUSIONS:
The authors recommend long-term follow-up in any patient with a longitudinal or mixed temporal bone fracture with low threshold for obtaining temporal bone computer tomography imaging for any new otologic complaints. Traumatic cholesteatomas complicated by brain abscess should be treated with broad-spectrum intravenous antibiotic therapy and aggressive surgical intervention.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Peptostreptococcus
/
Fracturas Craneales
/
Infecciones Estafilocócicas
/
Hueso Temporal
/
Absceso Encefálico
/
Infecciones por Bacterias Grampositivas
/
Colesteatoma del Oído Medio
/
Conducto Auditivo Externo
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Otol Neurotol
Asunto de la revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Estados Unidos