Radiological Imaging of Rare Intracranial Complications Secondary to Otitis Media and Mastoiditis

Burakgazi, Gülen; Bayaroğulları, Hanifi; Öztürk, Fatma; Arlı, Cengiz; Motor, Vicdan Köksaldı; Yanmaz, Rasim; Atci, Nesrin

doi:10.1097/scs.0000000000003391

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…In two patients, the thrombus was located between the sinus confluence with the jugular bulb. On the other hand, in 3 patients it was located in the right transverse and sigmoid sinus [11]. In MRI the findings vary mainly with thrombus time.…”

Section: Discussionmentioning

confidence: 94%

Septic thrombophlebitis of the sigmoid sinus after vestibular schwannoma resection: A case report and literature review

Brito¹,

Pauna²,

Pereira³

et al. 2018

Surg Rehabil

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Introduction:The translabyrinthine approach has been increasingly used in the removal of tumors of the cerebellopontine angle. Sigmoid sinus thrombophlebitis (SST) is a possible complication of this surgical approach.Case report: Male, 69 years-old with progressive unilateral hearing loss on his left side, which started three years before, and tinnitus. Audiometry showed deafness in the left ear. MRI showed a 1.5 cm lesion in the left cerebellopontine angle. Surgical resection via translabyrinthine. Biopsy revealed vestibular schwannoma (VS). On the 15th postoperative day, he developed headache, blurred vision, dizziness, nausea and fever, no signs of meningeal irritation or other neurological deficits. The wound showed signs of inflammation. Imaging studies showed elongated filling defect extending from the transverse sinus to the sigmoid sinus on the left. He underwent intravenous antibiotic treatment, with good clinical evolution. Discussion:The SST is a rare complication in the resection of VS. Among the possible explanations of the event stand out within retraction intraoperatively; sinus dissection during resection of the tumor and the spread of infectious processes from the mastoid causing septic thrombophlebitis. On contrast-enhanced CT can find central triangular area does not enhance and is bounded by the dura mater captive contrast, also known as a sign of "empty delta". Treatment may include anticoagulation, antibiotic therapy and surgical procedures. Considerations:The incidence of SST decreased after intravenous antibiotic treatment. Diagnosis requires clinical suspicion and imaging studies.

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Section: Discussionmentioning

confidence: 94%

Septic thrombophlebitis of the sigmoid sinus after vestibular schwannoma resection: A case report and literature review

Brito¹,

Pauna²,

Pereira³

et al. 2018

Surg Rehabil

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“…Perforasi membran timpani umumnya menyebabkan tuli konduktif ringan, tetapi kerusakan rangkaian tulang-tulang pendengaran menyebabkan tuli konduktif yang lebih berat. 3,8 Pada pemeriksaan foto polos mastoid proyeksi Schuller, sekitar 64,72% penderita ditemukan gambaran mastoiditis kronis dengan kolesteatoma.…”

Section: Metodeunclassified

“…Pada proyeksi ini perluasan pneumatisasi mastoid dan struktur trabekulasi dapat tampak dengan jelas. [8][9] Penelitian ini juga mendapatkan pola kuman pada penderita,…”

Section: Metodeunclassified

Characteristic of Intratemporal Complication in Chronic Suppurative Otitis Media Patient with and without Cholesteatoma at Hasan Sadikin General Hospital Bandung

Martanegara¹,

Purwanto²,

Boesoirie³

2020

JMH

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Otitis media supuratif kronis (OMSK) merupakan penyakit telinga umum di negara-negara berkembang. Kasus OMSK dengan kolesteatoma sering disebut sebagai tipe bahaya. Tujuan penelitian ini untuk mengetahui karakteristik komplikasi intratemporal pada pasien OMSK dengan dan tanpa kolesteatoma di Poliklinik Telinga Hidung Tenggorok Bedah Kepala Leher (THT-KL) Rumah Sakit Hasan Sadikin (RSHS) Bandung. Penelitian ini merupakan penelitian deskriptif retrospektif dari pasien yang datang ke poliklinik THT-KL RSHS Bandung periode 2014-2017. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, dan penunjang radiologi. Didapatkan 791 kasus baru OMSK; pria (51,20%), sebanyak 30,59% kasus berada di rentang usia 21-30. Gejala dan tanda klinis yang paling sering terjadi adalah telinga berair (70,92) %, tipe gangguan dengar yang paling sering terjadi adalah tuli konduktif (83,94%). Pada proyeksi foto Schuller, 64,72 % menunjukkan gambaran mastoiditis kronis dengan kolesteatoma. Dari hasil kultur dijumpai 19,97 % kasus disebabkan oleh Pseudomonas aeroginosa. Komplikasi mastoiditis didapatkan pada 86,34%. Pada operasi Canal Wall Down ditemukan kolesteatoma pada 60, 42% kasus. Komplikasi terbanyak intratemporal pasien OMSK dengan dan tanpa kolesteatoma adalah mastoiditis kronis. Simpulan, komplikasi terbanyak intratemporal pasien OMSK dengan dan tanpa kolesteatoma adalah mastoiditis kronis. Profil penderita OMSK tipe bahaya dengan komplikasi intratemporal di RSUP Dr. Hasan Sadikin masih tinggi. Kata kunci: karakteristik; kolesteatoma; mastoiditis kronis; otitis media supuratif kronik

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“…While meningitis is the leading cause of complications in otogenic mastoiditis, with a mortality rate of 14%, brain abscess is the second most prevalent (3,4). Before widespread use of antibiotics, up to 6% of patients experienced intracranial complications (i.e., brain abscess, venous sinus thrombosis, or meningitis) (2,5).…”

mentioning

confidence: 99%

Risk Factors Associated With Mortality in Patients With Otogenic Brain Abscess

Burton¹,

Saliba²,

Gabriel

et al. 2019

Otology &Amp; Neurotology

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Objective: Otogenic brain abscess is a well-recognized clinical condition that describes brain abscess secondary to an ear infection or mastoiditis. Current evidence remains limited on risk factors associated with mortality as most data are from case series. We aimed to 1) report the mortality rate among patients who did and did not receive mastoidectomy 2) identify factors associated with inpatient mortality. Study Design: Retrospective cohort study. Setting: Multi-institutional. Patients: We identified a cohort of patients for years 2008 to 2014 who in their inpatient hospitalization carried the diagnoses of both brain abscess and infectious ear disease. Interventions: Inpatient neurotology and neurosurgical procedures. Main Outcome Measures: A multivariable logistics regression model was built to identify the factors associated with inpatient mortality. Results: The final analysis included 252 patients, of which 84 (33.

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Radiological Imaging of Rare Intracranial Complications Secondary to Otitis Media and Mastoiditis

Cited by 7 publications

References 12 publications

Septic thrombophlebitis of the sigmoid sinus after vestibular schwannoma resection: A case report and literature review

Septic thrombophlebitis of the sigmoid sinus after vestibular schwannoma resection: A case report and literature review

Characteristic of Intratemporal Complication in Chronic Suppurative Otitis Media Patient with and without Cholesteatoma at Hasan Sadikin General Hospital Bandung

Risk Factors Associated With Mortality in Patients With Otogenic Brain Abscess

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