Abstract
Recently, the number of patients with otogenie intracranial complications has been decreased due to of antibiotics. However, the diagnosis of this complication was made difficult in the early stage because cranial symptoms are concealed by administration of abundant antibiotics. Therefore, treatments for this complication may be often missed.
Case 1. A fisher man who is 31 years old. He complained of severe headaches with fevers, left ear discharges and an amnestic aphasia. He was diagnosed the case as a cholesteatom otitis media with propagations of inflammations to the cerebrum. At first, a radical mastoidectomy was performed in hisleft ear. Although most of symptoms disappeared, only headaches and an amnestic aphasia were still remained. Moreover, neurological examinations revealed existence of a cerebral abscess in the left temporal region, therefore, a cerebral puncture was performed to suck pus being within the abscess, but it was unsuccessful. Besides, after the puncture, symptoms of a brain herniation appeared abruptly. At last, an exstirpation of the abscess was accomplished by a craniotomy. But this patient became comatoseafter the operation and deadafterall. An autopsy was carried out.
Case 2. This patient is an officer who is 31 years old. He got a mastoiditis with symptoms of meningitis during one week.After an excision of cholesteatoms in both ears, most of symptoms disappeared, but only amnestic aphasia was still remained. And by neurological examinations, a cerebral abscess was found in theleft temporal region. At present, although he is in good health, only aphasia is still remained.
