ABSTRACT
The purpose of this study is to review etiology, diagnosis and management strategies of rhinogenic and otogenic meningitis and brain abscess in adults. Current diagnostic procedures, effective surgery and antibiotic treatment are discussed. The clinical case of diagnosis and successful treatment of the patient with rhinogenic meningitis and brain abscesses is presented.
Subject(s)
Brain Abscess , Meningitis , Otitis Media , Adult , Brain Abscess/diagnosis , Brain Abscess/etiology , Humans , Meningitis/diagnosis , Meningitis/etiology , Otitis Media/complicationsABSTRACT
The rare clinical case of a patient with chronic otitis media and foreign body in the middle ear - a micro earphone in the tympanic cavity - is described in this article. The diagnostics, possible complications, and surgical treatment are discussed.
Subject(s)
Ear Canal , Ear, Middle , Foreign-Body Migration , Foreign-Body Reaction , Otologic Surgical Procedures/methods , Ear Canal/diagnostic imaging , Ear Canal/surgery , Ear, Middle/diagnostic imaging , Ear, Middle/surgery , Foreign-Body Migration/diagnosis , Foreign-Body Migration/etiology , Foreign-Body Migration/physiopathology , Foreign-Body Migration/surgery , Foreign-Body Reaction/diagnosis , Foreign-Body Reaction/etiology , Foreign-Body Reaction/physiopathology , Foreign-Body Reaction/surgery , Hearing Loss/diagnosis , Hearing Loss/etiology , Humans , Male , Radiography , Recovery of Function , Treatment Outcome , Young AdultABSTRACT
The author presents results of clinical and device investigation and analysis of intraoperative findings in surgical treatment of 150 patients with chronic purulent otitis media. Computed tomography of the temporal bones allows verification of the initial stage of otogenic intracranial complications in 90% of the cases. In early stages of development of otogenic intracranial complications destruction extention demans urgent cleansing intervention of the open type.
Subject(s)
Bone Diseases/etiology , Bone Diseases/surgery , Encephalitis/diagnosis , Encephalitis/etiology , Meningitis, Bacterial/diagnosis , Meningitis, Bacterial/etiology , Otitis Media, Suppurative/complications , Otitis Media, Suppurative/surgery , Bone Diseases/diagnostic imaging , Child , Child, Preschool , Humans , Monitoring, Intraoperative , Otitis Media, Suppurative/diagnosis , Severity of Illness Index , Temporal Bone/diagnostic imaging , Temporal Bone/surgery , Time Factors , Tomography, X-Ray ComputedABSTRACT
The author made a comparison of clinical and morphological examinations of 150 patients with otitis media purulenta chronica. Being an initial stage of otogenic intracranial complications, local pachymeningitis is characterized by more pronounced destruction of the temporal bone. In emergence of local pachymeningitis signs an urgent operation on the middle ear is needed.
Subject(s)
Ear, Middle/pathology , Meningitis, Bacterial/etiology , Otitis Media, Suppurative/pathology , Adolescent , Adult , Aged , Chronic Disease , Female , Humans , Male , Meningitis, Bacterial/pathology , Meningitis, Bacterial/surgery , Middle Aged , Otitis Media, Suppurative/complications , Otitis Media, Suppurative/surgery , Retrospective Studies , Temporal Bone/pathologyABSTRACT
Spontaneous bioelectric activity of the brain was studied by means of EEG monitoring with toposelective EEG mapping in 45 patients with otitis media purulenta chronica before and after ear surgery. A correlation was found between the presentation of slow rhythms and the initial stage of otogenic intracranial complications in the examinees. This is an additional criterium for establishment of early diagnosis of local pachymeningitis.
Subject(s)
Brain Mapping , Brain/physiopathology , Electroencephalography , Otitis Media, Suppurative/diagnosis , Otitis Media, Suppurative/surgery , Adolescent , Adult , Aged , Brain Mapping/instrumentation , Chronic Disease , Electroencephalography/instrumentation , Female , Humans , Male , Meningitis/diagnosis , Meningitis/etiology , Middle Aged , Otitis Media, Suppurative/complications , Retrospective StudiesABSTRACT
Temporal bone computed tomography findings were compared to those obtained at operation in 30 patients with chronic OMP. The comparison demonstrated high informative value of CT examinations which provide exhaustive characteristics of the pathological process important for preparation to and performance of relevant surgery.