Intracranial abscesses associated with chronic suppurative otitis media
Intracranial abscesses are serious complications of chronic suppurative otitis media (COM). This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications. Perisinus abscess (13 of 32) was...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2005-10, Vol.262 (10), p.847-851 |
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| container_title | European archives of oto-rhino-laryngology |
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| creator | SEVEN, Huseyin COSKUN, Berna Uslu CALIS, Asli B SAYIN, Ibrahim TURGUT, Suat |
| description | Intracranial abscesses are serious complications of chronic suppurative otitis media (COM). This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications. Perisinus abscess (13 of 32) was the most common intracranial abscess, followed by temporal lobe abscess (8 of 32), epidural abscess (7 of 32), cerebellar abscess (6 of 32) and subdural empyema (2 of 32). Headache (93%), fever (87%) and altered mental status (62%) were the most common presenting symptoms and signs, along with symptoms of COM. All patients were treated with intravenous antibiotics and canal wall down mastoidectomy. Cholesteatoma with granulation tissue and bony defects at the sinus plate and/or dural plate were seen in most of the patients. Gram negative bacilli and anaerobes were the most common organisms cultured from the abscesses. Three patients had neurological sequels. One patient died. The early diagnosis of these complications requires a high index of suspicion and imaging studies. A multidisciplinary and coordinated approach is important for the management of these patients. |
| doi_str_mv | 10.1007/s00405-004-0903-0 |
| format | Article |
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This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications. Perisinus abscess (13 of 32) was the most common intracranial abscess, followed by temporal lobe abscess (8 of 32), epidural abscess (7 of 32), cerebellar abscess (6 of 32) and subdural empyema (2 of 32). Headache (93%), fever (87%) and altered mental status (62%) were the most common presenting symptoms and signs, along with symptoms of COM. All patients were treated with intravenous antibiotics and canal wall down mastoidectomy. Cholesteatoma with granulation tissue and bony defects at the sinus plate and/or dural plate were seen in most of the patients. Gram negative bacilli and anaerobes were the most common organisms cultured from the abscesses. Three patients had neurological sequels. One patient died. The early diagnosis of these complications requires a high index of suspicion and imaging studies. A multidisciplinary and coordinated approach is important for the management of these patients.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-004-0903-0</identifier><identifier>PMID: 15959795</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Brain Abscess - etiology ; Brain Abscess - physiopathology ; Brain Abscess - therapy ; Child ; Child, Preschool ; Cholesteatoma - complications ; Chronic Disease ; Cranial Nerve Diseases ; Empyema, Subdural - etiology ; Empyema, Subdural - physiopathology ; Empyema, Subdural - therapy ; Epidural Abscess - etiology ; Epidural Abscess - physiopathology ; Epidural Abscess - therapy ; Female ; Fever ; Headache ; Humans ; Male ; Mastoid - surgery ; Medical sciences ; Middle Aged ; Otitis Media, Suppurative - complications ; Otitis Media, Suppurative - physiopathology ; Otitis Media, Suppurative - therapy ; Otorhinolaryngology. Stomatology ; Retrospective Studies</subject><ispartof>European archives of oto-rhino-laryngology, 2005-10, Vol.262 (10), p.847-851</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-8b1ed823dbc85b2a0b79083abd7b97a8f2a85d85bb568d1c880428a4b24a5c343</citedby><cites>FETCH-LOGICAL-c329t-8b1ed823dbc85b2a0b79083abd7b97a8f2a85d85bb568d1c880428a4b24a5c343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17254950$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15959795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SEVEN, Huseyin</creatorcontrib><creatorcontrib>COSKUN, Berna Uslu</creatorcontrib><creatorcontrib>CALIS, Asli B</creatorcontrib><creatorcontrib>SAYIN, Ibrahim</creatorcontrib><creatorcontrib>TURGUT, Suat</creatorcontrib><title>Intracranial abscesses associated with chronic suppurative otitis media</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Intracranial abscesses are serious complications of chronic suppurative otitis media (COM). This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications. Perisinus abscess (13 of 32) was the most common intracranial abscess, followed by temporal lobe abscess (8 of 32), epidural abscess (7 of 32), cerebellar abscess (6 of 32) and subdural empyema (2 of 32). Headache (93%), fever (87%) and altered mental status (62%) were the most common presenting symptoms and signs, along with symptoms of COM. All patients were treated with intravenous antibiotics and canal wall down mastoidectomy. Cholesteatoma with granulation tissue and bony defects at the sinus plate and/or dural plate were seen in most of the patients. Gram negative bacilli and anaerobes were the most common organisms cultured from the abscesses. Three patients had neurological sequels. One patient died. The early diagnosis of these complications requires a high index of suspicion and imaging studies. A multidisciplinary and coordinated approach is important for the management of these patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brain Abscess - etiology</subject><subject>Brain Abscess - physiopathology</subject><subject>Brain Abscess - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cholesteatoma - complications</subject><subject>Chronic Disease</subject><subject>Cranial Nerve Diseases</subject><subject>Empyema, Subdural - etiology</subject><subject>Empyema, Subdural - physiopathology</subject><subject>Empyema, Subdural - therapy</subject><subject>Epidural Abscess - etiology</subject><subject>Epidural Abscess - physiopathology</subject><subject>Epidural Abscess - therapy</subject><subject>Female</subject><subject>Fever</subject><subject>Headache</subject><subject>Humans</subject><subject>Male</subject><subject>Mastoid - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otitis Media, Suppurative - complications</subject><subject>Otitis Media, Suppurative - physiopathology</subject><subject>Otitis Media, Suppurative - therapy</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Retrospective Studies</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotn78AC-yF72tzuajSY5StAqCFz2HSTbFyLZbM7uK_96UFnqZOczzDjMPY1cN3DUA-p4AJKi61BosiBqO2LSRQtZS89kxm4IVupZS6wk7I_oCACWtOGWTRllltVVTtnhZDxlDxnXCrkJPIRJFqpCoDwmH2Fa_afiswmfu1ylUNG42Y8Yh_cSqH9KQqFrFNuEFO1liR_Fy38_Zx9Pj-_y5fn1bvMwfXusguB1q45vYGi5aH4zyHMFrC0agb7W3Gs2So1FtGXk1M20TjAHJDUrPJaogpDhnt7u9m9x_j5EGt0rl5q7DdexHcjOjtZCWF7DZgSH3RDku3SanFeY_14Db2nM7e65Ut7XnoGSu98tHX746JPa6CnCzB5ACdsuiLSQ6cJoXwQrEP-kXeFc</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>SEVEN, Huseyin</creator><creator>COSKUN, Berna Uslu</creator><creator>CALIS, Asli B</creator><creator>SAYIN, Ibrahim</creator><creator>TURGUT, Suat</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051001</creationdate><title>Intracranial abscesses associated with chronic suppurative otitis media</title><author>SEVEN, Huseyin ; COSKUN, Berna Uslu ; CALIS, Asli B ; SAYIN, Ibrahim ; TURGUT, Suat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-8b1ed823dbc85b2a0b79083abd7b97a8f2a85d85bb568d1c880428a4b24a5c343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Brain Abscess - etiology</topic><topic>Brain Abscess - physiopathology</topic><topic>Brain Abscess - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cholesteatoma - complications</topic><topic>Chronic Disease</topic><topic>Cranial Nerve Diseases</topic><topic>Empyema, Subdural - etiology</topic><topic>Empyema, Subdural - physiopathology</topic><topic>Empyema, Subdural - therapy</topic><topic>Epidural Abscess - etiology</topic><topic>Epidural Abscess - physiopathology</topic><topic>Epidural Abscess - therapy</topic><topic>Female</topic><topic>Fever</topic><topic>Headache</topic><topic>Humans</topic><topic>Male</topic><topic>Mastoid - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Otitis Media, Suppurative - complications</topic><topic>Otitis Media, Suppurative - physiopathology</topic><topic>Otitis Media, Suppurative - therapy</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SEVEN, Huseyin</creatorcontrib><creatorcontrib>COSKUN, Berna Uslu</creatorcontrib><creatorcontrib>CALIS, Asli B</creatorcontrib><creatorcontrib>SAYIN, Ibrahim</creatorcontrib><creatorcontrib>TURGUT, Suat</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SEVEN, Huseyin</au><au>COSKUN, Berna Uslu</au><au>CALIS, Asli B</au><au>SAYIN, Ibrahim</au><au>TURGUT, Suat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intracranial abscesses associated with chronic suppurative otitis media</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>262</volume><issue>10</issue><spage>847</spage><epage>851</epage><pages>847-851</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Intracranial abscesses are serious complications of chronic suppurative otitis media (COM). This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications. Perisinus abscess (13 of 32) was the most common intracranial abscess, followed by temporal lobe abscess (8 of 32), epidural abscess (7 of 32), cerebellar abscess (6 of 32) and subdural empyema (2 of 32). Headache (93%), fever (87%) and altered mental status (62%) were the most common presenting symptoms and signs, along with symptoms of COM. All patients were treated with intravenous antibiotics and canal wall down mastoidectomy. Cholesteatoma with granulation tissue and bony defects at the sinus plate and/or dural plate were seen in most of the patients. Gram negative bacilli and anaerobes were the most common organisms cultured from the abscesses. Three patients had neurological sequels. One patient died. The early diagnosis of these complications requires a high index of suspicion and imaging studies. A multidisciplinary and coordinated approach is important for the management of these patients.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>15959795</pmid><doi>10.1007/s00405-004-0903-0</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Brain Abscess - etiology Brain Abscess - physiopathology Brain Abscess - therapy Child Child, Preschool Cholesteatoma - complications Chronic Disease Cranial Nerve Diseases Empyema, Subdural - etiology Empyema, Subdural - physiopathology Empyema, Subdural - therapy Epidural Abscess - etiology Epidural Abscess - physiopathology Epidural Abscess - therapy Female Fever Headache Humans Male Mastoid - surgery Medical sciences Middle Aged Otitis Media, Suppurative - complications Otitis Media, Suppurative - physiopathology Otitis Media, Suppurative - therapy Otorhinolaryngology. Stomatology Retrospective Studies |
| title | Intracranial abscesses associated with chronic suppurative otitis media |
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