title: [Cerebral artery infarction presented as an unusual complication of acute middle otitis].
abstract: BACKGROUND
  acute otitis media is a frequent disease in the pediatric age. About 2 % of all cases develop intracranial complications such as meningitis. The cerebral infarction originates meningitis and usually occurs in the venous system. The presence of a cerebral artery infarction secondary to acute otitis media is a rare cause described in the literature.
  
  
  METHODS
  a girl of 12 months who presented a febrile syndrome due to acute otitis media and mental confusion. On physical examination, she appeared sleepy with anisocoria, mydriasis in the right eye and left hemiparesis. The computed tomography examination showed extensive cerebral artery infarction. The patient's parents refused the proposed surgical treatment and the girl died 48 hours later.
  
  
  CONCLUSIONS
  regardless of the current technological advances, the clinical prognosis of cerebral infarction associated with acute otitis media is bad. The focused neurological signs and progressive clinical deterioration should raise suspicion that antimicrobial therapy is not effective.
authors.affiliation: Universidad de Cartagena, Cartagena de Indias, Columbia. mineurocirujano@aol.com
authors.forename: Luis Rafael
authors.initials: LR
authors.lastname: Moscote-Salazar
authors.forename: Gabriel
authors.initials: G
authors.lastname: Alcalá-Cerra
authors.forename: Sandra Milena
authors.initials: SM
authors.lastname: Castellar-Leones
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Gutiérrez-Paternina
mesh_terms: D000208:Acute Disease; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D020244:Infarction, Middle Cerebral Artery / Q000209:etiology*; D010033:Otitis Media / Q000150:complications*
keywords: arteria cerebral media; cerebral infarction; cerebrovascular disorders; infarto cerebral; middle cerebral artery; otitis media; trastornos cerebrovasculares