Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Two Cases of Otogenic Brain Abscess
Tatsuaki KurodaKeisuke MasuyamaHaruaki HirayamaMasahiro ObuchiKenjiro HabuTakeru Ishikawa
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1980 Volume 73 Issue 9 Pages 1427-1432

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Abstract

A case of otogenic cerebellar abscess and a case of otogenic temporal lobe abscess are reported. Neither of these patients complained of meningeal symptoms other than headache. Therefore, the brain abscess was not suspected before performing the computed tomographic examination (CT). The enhanced CT scan demonstrated the brain abscess well in both cases as a low density area surrounded with a circular ring of increased density. In the patient with temporal lobe abscess, the primary source of the abscess in the temporal bone, cholesteatoma, was removed but the abscess was not surgically treated. In the patient with the cerebellar abscess, after removal of cholesteatoma the abscess was drained through the operative field. CT gave quite proper information as to the surgical approach to the abscess. Up to the present, no residual disabilities have been complained of by either of the two patients.

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