title: [Epidural abscess as a complication of acute mastoiditis in a 7-year-old child].
abstract: BACKGROUND
  Epidural abscess is the commonest intracranial complication of acute mastoiditis. In some cases this entity may pose a diagnostic problem.
  
  
  METHODS
  We report a case of acute mastoiditis followed by an epidural abscess in the middle cranial fossa and a bone fistula to subtemporal fossa. Localization of the abscess was revealed by means of computed tomography and magnetic resonance imaging of the head in early stage of the disease.
  
  
  RESULTS
  The treatment of choice was mastoidectomy with epitymanotomy, myringostomy, revision of zygomatic area to ensure drainage of the epidural abscess and intravenous antibiotics. After two years of observation the child is in a good condition with normal hearing.
  
  
  CONCLUSIONS
  Osteolysis visualized on CT scan may suggest an intracranial complication occurrence. MRI should be performed to determine the precise localization of the abscess.
authors.affiliation: Klinika Otolaryngologii, Gdańskiego Uniwersytetu Medycznego. jerzyk@gumed.edu.pl
authors.forename: Jerzy
authors.initials: J
authors.lastname: Kuczkowski
authors.forename: Waldemar
authors.initials: W
authors.lastname: Narozny
authors.forename: Czesław
authors.initials: C
authors.lastname: Stankiewicz
authors.forename: Wojciech
authors.initials: W
authors.lastname: Brzozowski
authors.forename: Mirosława
authors.initials: M
authors.lastname: Dubaniewicz-Wybieralska
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Plichta
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004322:Drainage / Q000379:methods; D020802:Epidural Abscess / Q000382:microbiology* / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008417:Mastoiditis / Q000150:complications* / Q000628:therapy*; D010033:Otitis Media / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis*; D041162:Staphylococcus haemolyticus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents