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유양동 수술 후 발생한 측두엽 농양 1예

A Case of Temporal Lobe Abscess Following Mastoidectomy

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주제분류이비인후과학

초록

We report a case of complicated temporal lobe abscess following mastoidectomy. The patient complained of a headache after surgery, however, he was discharged as his symptom was considered to be a common postoperative headache. He revisited our due to a generalized tonic-clonic seizure, and the CT and MRI findings suggested the diagnosis of temporal lobe abscess. The patient was successfully treated with antibiotics instead of surgical treatment. Although the cerebral abscess following mastoidectomy is extremely rare, it is necessary to pay attention to it. Particularly when the patient complains of a headache, it is important to consider the aspects of headache carefully. Bone defect in tegmen tympani and exposure of dura will increase the risk of cerebral abscess, therefore careful caution is required in the presence of lower dura mater. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):411-4

Abstract

We report a case of complicated temporal lobe abscess following mastoidectomy. The patient complained of a headache after surgery, however, he was discharged as his symptom was considered to be a common postoperative headache. He revisited our due to a generalized tonic-clonic seizure, and the CT and MRI findings suggested the diagnosis of temporal lobe abscess. The patient was successfully treated with antibiotics instead of surgical treatment. Although the cerebral abscess following mastoidectomy is extremely rare, it is necessary to pay attention to it. Particularly when the patient complains of a headache, it is important to consider the aspects of headache carefully. Bone defect in tegmen tympani and exposure of dura will increase the risk of cerebral abscess, therefore careful caution is required in the presence of lower dura mater. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):411-4

참고문헌 (8)

  1. Migirov L, "Intracranial complications following mastoidectomy", Pediatr Neurosurg, 40(5), pp.226~229 (2004)
  2. Garayev A, "Otogenic cerebellar abscess - two case histories", Laryngorhinootologie, 86(9), pp.660~663 (2007)
  3. Yin T, "An unusual case of complicated temporal lobe abscess following tympanomastoidectomy", Int J Clin Exp Pathol, 6(7), pp.1445~1447 (2013)
  4. Kim NG, "A case of intracranial abscess after mastoidectomy", Korean J Audiol, 13(3), pp.264~267 (2009)
  5. Kangsanarak J, "Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases", J Laryngol Otol, 107(11), pp.999~1004 (1993)
  6. 권민수, "만성 중이염 수술 후 발생한 뇌기저 골수염 2예", 대한이비인후과학회지 두경부외과학, 52(3), pp.279~283 (2009), 대한이비인후과학회
  7. Agrawal A, "Cerebellar abscess following mastoidectomy for chronic otitis media", Pediatr Neurosurg, 43(4), pp.327~329 (2007)
  8. Seven H, "Intracranial abscesses associated with chronic suppurative otitis media", Eur Arch Otorhinolaryngol, 262(10), pp.847~851 (2005)

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