Colpaert C, Van Rompaey V, Vanderveken O, Venstermans C, Boudewyns A, Menovsky T, de Veuster I, Van de Heyning P, Hamans E
Department of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
B-ENT. 2013;9(2):151-6.
We describe the case of a 12-year-old girl with acute otitis media complicated by acute mastoiditis, epidural empyema, thrombosis of the sigmoid sinus and paralysis of the abducens nerve. The patient underwent a mastoidectomy on the left side combined with drainage of the epidural empyema through an extended burr holl and received intravenous antibiotics for 6 weeks and anticoagulation for 12 weeks. This report discusses the intracranial complications of acute otitis media, which were a common problem before the advent of adequate antibiotic drugs but have become rare since their introduction.
我们描述了一名12岁女孩的病例，她患有急性中耳炎，并伴有急性乳突炎、硬膜外脓肿、乙状窦血栓形成和外展神经麻痹。患者接受了左侧乳突切除术，并通过扩大的骨窗引流硬膜外脓肿，静脉注射抗生素6周，抗凝治疗12周。本报告讨论了急性中耳炎的颅内并发症，在有效抗生素药物出现之前，这是一个常见问题，但自引入抗生素以来已变得罕见。
