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급성 중이염에 합병된 뇌경막하 농양

A Case of Otogenic Subdural Abscess Due to Acute Otitis Media

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주제분류이비인후과학

초록

The incidence of intracranial complications of otitis media have been reduced by use of antibiotics. Therefor subdural abscess caused by otitis media is extremely rare. However, it still represents a challenging situation because of its high mortality rate. We describe a 54-year-old patient diagnosed with acute otitis media. In this case, we experienced ipsilateral subdural abscess as complication of otitis media and incidental contralateral hemiparesis. We present this disease and the treatment course which has been successfully treated by antibiotics. Furthermore, we discuss its symptoms, physical examinations through literature review.

Abstract

The incidence of intracranial complications of otitis media have been reduced by use of antibiotics. Therefor subdural abscess caused by otitis media is extremely rare. However, it still represents a challenging situation because of its high mortality rate. We describe a 54-year-old patient diagnosed with acute otitis media. In this case, we experienced ipsilateral subdural abscess as complication of otitis media and incidental contralateral hemiparesis. We present this disease and the treatment course which has been successfully treated by antibiotics. Furthermore, we discuss its symptoms, physical examinations through literature review.

참고문헌 (14)

  1. 김규성, "만성 진주종성 중이염 수술시 우연히 발견된 잠행성 뇌경박하 농양 1예", 대한이비인후과학회지 두경부외과학, 46(7), pp.602~605 (2003), 대한이비인후과학회
  2. Nathoo N, "Craniotomy improves outcomes for cranial subdural empyemas:computed tomography-era experience with 699 patients", Neurosurg, 49, pp.872~878 (2001)
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  6. Sennaroglu L, "Otogenic brain abscess: review of 41 cases", Otolaryngol Head Neck Surg, 123, pp.751~755 (2000)
  7. Bhanndri YS, "Subdural empyema: A review of 37 cases", J Neurosurg, 32, pp.35~39 (1970)
  8. Kaufman DM, "Subdural empyema:analysis of 17 recent cases and review of literature", Medicine, 54, pp.485~498 (1975)
  9. Greenlee JE, "Subdural empyema", Curr Treat Options Neurol, 5, pp.13~22 (2003)
  10. Zimmerman RA, "Magnetic resonance imaging of the central nervous system", pp.235~257 (1987), Raven press
  11. Tice AD, "Outpatient parenteral antimicrobial therapy for central nervous system infections", Clin Infect Dis, 26, pp.1394~1399 (1999)
  12. Nalbone VP, "Otoggenic brain abscesses:The syracuse experience", Ear Nose Throat J, 71, pp.238~242 (1992)
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  14. Baek SH, "A case of brain abscess complicated in masked mastoiditis", J Clin Otolaryngol, 11, pp.137~140 (2000)

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