Arterial brain infarction in complicated acute otitis media

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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)659-663
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Issue number4
StatePublished - Apr 2007
Externally publishedYes


  • Brain infarction
  • Complications
  • Otitis media


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