title: Otogenic cerebellar abscess due to purulent labyrinthitis and defect of the superior semicircular canal and its propagation through the endolymphatic sac.
abstract: The otogenic cerebellar abscess still is one of the most dangerous complications of otitis media and implicates a high risk of mortality. Early diagnosis and therapy are decisive factors for the chances of rehabilitation. Radiologic imaging (CT/MRI) plays an important role. A broad-spectrum antibiotic according to antibiogram is indispensable. The type of surgical intervention depends on the cause and localization of the abscess. In this case the cerebellar abscess was a complication resulting from labyrinthitis, which was propagated through the endolymphatic duct and sac to the posterior fossa dura. Consequently, it could be cured ultimately only after petrosectomy and abscess drainage toward the mastoid cavity. It is mandatory to completely sanitize the infection surgically in order to avoid lethal complication especially in case of a delayed clinical course or recurrent symptoms of labyrinth involvement. Close interdisciplinary collaboration between ORL, neurosurgery and neuroradiology is desirable for successful therapy.
authors: Department of Otorhinolaryngology, Medical University of Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. durisin.martin@mh-hannover.de
authors: Martin
authors: M
authors: Durisin
authors: Timo
authors: T
authors: Stöver
authors: Martin
authors: M
authors: Leinung
authors: Andreas
authors: A
authors: Mangold
authors: Marion
authors: M
authors: Rittierodt
authors: Thomas
authors: T
authors: Lenarz
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002526:Cerebellar Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002531:Cerebellum; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007762:Labyrinthitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D012422:Rupture, Spontaneous; D012665:Semicircular Canals; D013492:Suppuration / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D015837:Vestibular Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents