Congenital cholesteatoma with spontaneous epidural abscess, sinus thrombosis and cutaneous fistula

1996 ◽  
Vol 19 (3) ◽  
pp. 189-191 ◽  
Author(s):  
Abd�lvahap G�k ◽  
Muzaffer Kanhkama ◽  
Co�kun �zsara�
Keyword(s):  
Epidural Abscess ◽  
Sinus Thrombosis ◽  
Cutaneous Fistula ◽  
Congenital Cholesteatoma

scholarly journals Intracranial Suppurative Complications of Sinusitis

2016 ◽  
Vol 105 (4) ◽  
pp. 254-262 ◽  
Author(s):  
T. K. Nicoli ◽  
M. Oinas ◽  
M. Niemelä ◽  
A. A. Mäkitie ◽  
T. Atula
Keyword(s):  
Epidural Abscess ◽  
Sinus Thrombosis ◽  
Nasal Congestion ◽  
Subdural Empyema ◽  
University Hospital ◽  
Tertiary Referral Hospital ◽  
Neck Stiffness ◽  
Correct Treatment ◽  
Intracranial Infection ◽  
Intracranial Complications

Background: Intracranial complications of paranasal sinusitis have become rare due to widespread and early use of antibiotics. Potentially life-threatening intracranial complications of sinusitis include subdural empyema, epidural and intracerebral abscess, meningitis, and sinus thrombosis. Patients with intracranial complication of sinusitis can present without neurological signs, which may delay diagnosis and correct treatment. Aims: Our aim was to evaluate the diagnostics, treatment, and outcome of sinusitis-related intracranial infections at our tertiary referral hospital with a catchment area of 1.9 million people. Materials and Methods: We retrospectively collected data on all patients diagnosed and treated with an intracranial infection at the Helsinki University Hospital, Helsinki, Finland, during a 10-year period between 2003 and 2013. Results: Six patients were diagnosed to have a sinusitis-related intracranial infection. Four patients had an epidural abscess, one both an epidural abscess and a subdural empyema and one a subdural empyema. The most common presenting complaint was headache (100%) followed by fever (83%), vomiting (50%), nasal congestion (50%), forehead lump (34%), and neck stiffness (17%). All patients were managed surgically. Most (83%) patients recovered to premorbid state without neurological sequelae. One patient died intraoperatively. Conclusion: Patients with a sinusitis-related intracranial suppuration typically present with signs of raised intracranial pressure rather than signs of sinusitis. Most are likely to need neurosurgical intervention and evacuation of the abscess without delay.

scholarly journals Otogenic cranial sinus thrombosis and epidural abscess

2020 ◽  
Vol 21 (4) ◽  
pp. 287-289
Author(s):  
Tomáš Kostlivý ◽  
Viktorie Herejková ◽  
Filip Ruml ◽  
David Slouka
Keyword(s):  
Epidural Abscess ◽  
Sinus Thrombosis ◽  
Cranial Sinus Thrombosis

scholarly journals Epidural Abscess Masquerading as Lateral Sinus Thrombosis

Skull Base ◽  
2000 ◽  
Vol Volume 10 (Number 4) ◽  
pp. 0201-0206
Author(s):  
David C. Brodner ◽  
Jeff Cutler ◽  
Gerard J. Gianoli ◽  
Ronald G. Amedee
Keyword(s):  
Epidural Abscess ◽  
Sinus Thrombosis ◽  
Lateral Sinus ◽  
Lateral Sinus Thrombosis

scholarly journals Epidural Abscess and Sigmoid Sinus Thrombosis as Intracranial Complications of the Middle Ear Cholesteatoma

2020 ◽  
Vol 21 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Dalibor Vranjes ◽  
Aleksandar Gajic ◽  
Svjetlana Jefic ◽  
Slobodan Spremo ◽  
Dmitar Travar ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Middle Ear ◽  
Epidural Abscess ◽  
Sinus Thrombosis ◽  
Prognostic Significance ◽  
Sigmoid Sinus ◽  
Bony Tissue ◽  
Intracranial Complication ◽  
Middle Ear Cholesteatoma ◽  
Intracranial Complications

AbstractThe otogenic intracranial complications are rare manifestations in modern era of antibiotics. An early antibiotic therapy often covers typical clinical signs and symptoms for each complication. A sigmoid sinus thrombosis is often associated with other intracranial complications, as in this case, an epidural abscess. We are presenting a case of 12-year-old girl with the sigmoid sinus thrombosis and epidural abscess as complications of chronic infection to the middle ear with cholesteatoma. In the active phase of chronic inflammation of the middle ear she was treated with the antibiotic therapy that covered early symptoms of intracranial complication development. A humid attic perforation of the tympanic membrane with protrusion of choleastoma and evident signs of bony wall destruction to the external auditory canal was noticed by performing routine otomicroscopy and otoendoscopic examination. Assuming intracranial complication, magnetic resonance imaging (MRI) of the endocranium was undertaken. The MRI showed inflammatory changes of both middle ears with intracranial complications: the right sigmoid sinus thrombosis and epidural abscess of the same side. During the surgery we have noticed an extensive middle ear cholesteatoma with significant destruction of the bony tissue and purulent collection between sigmoid sinus changed with granulation and respective dural segment of the posterior cranial cavity.Timely diagnosis, multidisciplinary approach with an adequate choice of the antibiotic therapy and surgical technique have a crucial prognostic significance.

Duro-cutaneous fistula caused by a ‘congenital’ cholesteatoma

1990 ◽  
Vol 104 (3) ◽  
pp. 241-243 ◽  
Author(s):  
L. Viani ◽  
M. S. McCormick
Keyword(s):  
Temporal Lobe ◽  
Review Of The Literature ◽  
Cutaneous Fistula ◽  
Congenital Cholesteatoma

AbstractA cervical fistula from a ‘congenital’ cholesteatoma is described in a 70-year-old man. This was found to communicate with an extradural temporal lobe abscess. The presentation and management is described. No previous report of such a case has been found in a review of the literature.

scholarly journals Pyogenic Odontoid Osteomyelitis with Sinus Thrombosis

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Rohit Aiyer ◽  
Janice Hwang ◽  
Edward H. Yu
Keyword(s):  
Venous Thrombosis ◽  
Epidural Abscess ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Transverse Sinus ◽  
Nuchal Rigidity ◽  
First Case ◽  
Intravenous Heparin ◽  
Intravenous Antibiotics ◽  
Sinus Venous Thrombosis

71/F presented with left sided headaches and neck pain with nuchal rigidity progressively worsening over 3 weeks with no other neurologic symptoms. Odontoid osteomyelitis with epidural abscess was discovered on further workup with neuroimaging. Concurrent jugular vein and transverse sinus venous thrombosis was also found and suspected to be secondary to the pyogenic odontoid osteomyelitis. Patient was treated with intravenous antibiotics for the osteomyelitis as well as intravenous heparin for the venous thrombosis. To our knowledge, this is the first case reported in literature of transverse sinus venous thrombosis secondary to odontoid osteomyelitis.

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