Arterial brain infarction in complicated acute otitis media

Yael Oestreicher-Kedem; Liat Ben-Sira; Galia Grissaru; Ari DeRowe

doi:10.1016/j.ijporl.2006.12.008

Arterial brain infarction in complicated acute otitis media

Yael Oestreicher-Kedem^*, Liat Ben-Sira, Galia Grissaru, Ari DeRowe

^*Corresponding author for this work

Tel Aviv Sourasky Medical Center

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

We report a rare case of acute otitis media (AOM) complicated by arterial brain infarction, meningitis and orbital cellulitis. Computed tomography (CT) initially showed suspected epidural abscess, coalescent mastoiditis, and orbital cellulitis. Further clinical deterioration occurred following mastoidectomy and evacuation of the abscess. Magnetic resonance imaging (MRI) revealed subacute brain infarction and an extra-axial brainstem abscess. Revision of the initial CT revealed subtle signs suggestive of arterial brain infarction. Although CT with contrast is the standard of care for suspected AOM complications, MRI should be considered as an adjunct when CT is not definitive and neurological signs are present.

Original language	English
Pages (from-to)	659-663
Number of pages	5
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	71
Issue number	4
DOIs	https://doi.org/10.1016/j.ijporl.2006.12.008
State	Published - Apr 2007
Externally published	Yes

Keywords

Brain infarction
Complications
Otitis media

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ijporl.2006.12.008

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AU - Grissaru, Galia

AU - DeRowe, Ari

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N2 - We report a rare case of acute otitis media (AOM) complicated by arterial brain infarction, meningitis and orbital cellulitis. Computed tomography (CT) initially showed suspected epidural abscess, coalescent mastoiditis, and orbital cellulitis. Further clinical deterioration occurred following mastoidectomy and evacuation of the abscess. Magnetic resonance imaging (MRI) revealed subacute brain infarction and an extra-axial brainstem abscess. Revision of the initial CT revealed subtle signs suggestive of arterial brain infarction. Although CT with contrast is the standard of care for suspected AOM complications, MRI should be considered as an adjunct when CT is not definitive and neurological signs are present.

AB - We report a rare case of acute otitis media (AOM) complicated by arterial brain infarction, meningitis and orbital cellulitis. Computed tomography (CT) initially showed suspected epidural abscess, coalescent mastoiditis, and orbital cellulitis. Further clinical deterioration occurred following mastoidectomy and evacuation of the abscess. Magnetic resonance imaging (MRI) revealed subacute brain infarction and an extra-axial brainstem abscess. Revision of the initial CT revealed subtle signs suggestive of arterial brain infarction. Although CT with contrast is the standard of care for suspected AOM complications, MRI should be considered as an adjunct when CT is not definitive and neurological signs are present.

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Arterial brain infarction in complicated acute otitis media

Abstract

Keywords

UN SDGs

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