Otogenic brain abscess: review of 41 cases.
Forty-one patients in whom otogenic brain abscess was diagnosed and has been treated since 1968 are presented. Sixty-five percent of the patients were between 5 and 15 years of age. All patients had chronic otitis media, and 95% had cholesteatoma. Abscess was located in the temporal lobe in 54%, in the cerebellum in 44%, and in both locations in 2% of the cases. Most patients had radical mastoidectomy and evacuation of the abscess through the mastoidectomy (61%). In addition to mastoidectomy, burr hole drainage was used in 20% and craniotomy in 15%. The most common micro-organism involved was Proteus. Overall mortality in this series is 29%, but after 1976, when CT became available for the diagnosis and follow-up, the mortality rate was reduced to 10%.
Sennaroglu
L
L
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Medical Faculty.
Sozeri
B
B
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents; D001922:Brain Abscess / Q000382:microbiology* / Q000401:mortality / Q000628:therapy; D002526:Cerebellar Diseases / Q000382:microbiology* / Q000401:mortality / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D018424:Cholesteatoma, Middle Ear / Q000150:complications* / Q000628:therapy; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003399:Craniotomy; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D010033:Otitis Media / Q000150:complications* / Q000628:therapy; D011512:Proteus Infections / Q000150:complications* / Q000628:therapy; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000150:complications* / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000628:therapy; D016019:Survival Analysis; D013702:Temporal Lobe; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents