DIAGNOSIS & TREATMENT OF TWO CASE WITH OTOGENIC BRAIN ABCESS AT CHO RAY HOSPITAL

Ngô Văn Công1,
1 Cho Ray Hospital

Main Article Content

Abstract

The patients have high intracranial pressure syndrome (headache, vomit and metal disoder), infectious syndrome (fever with chill, increasing white blood cell,…) and ear problems (ear pain, discharge, pus in mdiddle ear). Two cases were diagnosed to base on clinical symptoms and images (CT scan/ MRI). After diagnosing, the first case have been combined medical treatment and craniotomy to remove total brain abcess. We performed radical mastoidectomy after craniotomy about 1 week. The second case only cure by medical treatment and radical mastoidectomy. Therc arc nice result with two cases. They can go to their home.

Article Details

References

1. Bartnik W., Bartnik-Krystalska A. (2000), [Results of the therapy in otogenic intracranial complication in ENT Department of Voivodeship Hospital in Kalisz]. Otolaryngol Pol, 54 (4), 383-8.
2. Chew Y. K., Cheong J. P., Khir A., Brito-Mutunayagam S., Prepageran N. (2012), Complications of chronic suppurative otitis media: a left otogenic brain abscess and a right mastoid fistula. Ear Nose Throat J, 91 (10), 428, 430.
3. Dubey S. P., Larawin V., Molumi C. P. (2010), Intracranial spread of chronic middle ear suppuration. Am J Otolaryngol, 31 (2), 73-7.
4. Grigoriadis E., Gold W. L. (1997), Pyogenic brain abscess caused by Streptococcus pneumoniae: case report and review. Clin Infect Dis, 25 (5), 1108-12.
5. Hafidh M. A., Keogh I., Walsh R. M., Walsh M., Rawluk D. (2006), Otogenic intracranial complications. a 7-year retrospective review. Am J Otolaryngol, 27 (6), 390-5.
6. Ionita C., Wasay M., Balos L., Bakshi R. (2004), MR imaging in toxoplasmosis encephalitis after bone marrow transplantation: paucity of enhancement despite fulminant disease. AJNR Am J Neuroradiol, 25 (2), 270-3.
7. Lu C. H., Chang W. N., Lin Y. C., Tsai N. W., Liliang P. C., Su T. M., Rau C. S., Tsai Y. D., Liang C. L., Chang C. J., Lee P. Y., Chang H. W., Wu J. J. (2002), Bacterial brain abscess: microbiological features, epidemiological trends and therapeutic outcomes. Qjm, 95 (8), 501-9.
8. Osma U., Cureoglu S., Hosoglu S. (2000), The complications of chronic otitis media: report of 93 cases. J Laryngol Otol, 114 (2), 97-100.
9. Sennaroglu L., Sozeri B. (2000), Otogenic brain abscess: review of 41 cases. Otolaryngol Head Neck Surg, 123 (6), 751-5.
10. Tonon E., Scotton P. G., Gallucci M., Vaglia A. (2006), Brain abscess: clinical aspects of 100 patients. Int J Infect Dis, 10 (2), 103-9.