An unusual case of complicated temporal lobe abscess following tympanomastoidectomy

International Journal of Clinical and Experimental Pathology

Tuanfang Yin¹  Xing Chen¹  Yongde Lu¹  Fengying Huang¹  Yaowen Wang¹  Jihao Ren¹ 

关键词: Tympanomastoidectomy;    otitis media;    cholesteatoma;    brain abscess;    diagnosis;    treatment;   

DOI  :  

学科分类：生理学与病理学

来源: e-Century Publishing Corporation

【 摘 要 】

We report a unusual case of complicated temporal lobe abscess following tympanomastoidectomy in a 26-year-old Chinese man here. The patient complained of binaural recurrent purulent discharge accompanied by hearing loss more than 10 years, then he received a right tympanomastoidectomy three months ago, but 3 weeks after surgery, he started to experience fierce headache and nausea and so on. The CT and MRI suggested the diagnosis of right temporal lobe abscess and then right temporal lobe abscess was excised. The patient was successfully treated with a right temporal lobe abscess resection and a radical right mastoidectomy. Although the cerebral abscess following radical tympanomastoidectomy are extremely rare, we should pay attention to it. we suggest the main reasons was still suffering from purulent discharge in the ear after the first tympanomastoidectomy, the granulation and cholesteatoma failed to completely remove during the first operation. and even resulted in substantial bone defect. It is well-known that good drainage is a key to reduce intra-cranial complications.

【 授权许可】

Unknown