Viswanatha B, Vijayashree M S, Sumatha D
ENT Department, Victoria Hospital, Bangalore Medical College and Research Institute, # 716, 10th Cross, 5th Main, M.C. Layout, Vijayangar, Bangalore, Karnataka 560 040 India.
Indian J Otolaryngol Head Neck Surg. 2012 Mar;64(1):82-6. doi: 10.1007/s12070-011-0127-8. Epub 2011 Feb 3.
A 12 year old female patient, who had attico antral type of ear disease on right side, was brought to tertiary care centre for the management of fever, vomiting and headache. Patient had unilateral attico antral type of ear disease with bilateral intracranial complication. Along with the right attico antral type of ear disease and right lateral sinus thrombosis, patient had brain abscess in the left occipital lobe. Brain abscess was drained first and later mastoidectomy was done to eradicate the source of infection and to prevent further complications due to ear disease. Patient recovered well and patient was free from any problem during follow up period of 6 months. Bilateral intra cranial complications occurring simultaneously in a patient with a unilateral attico antral type of ear disease is not reported in the literature.
一名12岁女性患者,右侧为鼓室窦型耳部疾病,因发热、呕吐和头痛被送至三级医疗中心。患者患有单侧鼓室窦型耳部疾病并伴有双侧颅内并发症。除右侧鼓室窦型耳部疾病和右侧横窦血栓形成外,患者左枕叶还有脑脓肿。首先对脑脓肿进行引流,随后进行乳突切除术以根除感染源并预防耳部疾病引起的进一步并发症。患者恢复良好,在6个月的随访期内未出现任何问题。单侧鼓室窦型耳部疾病患者同时发生双侧颅内并发症的情况在文献中未见报道。