• Martin Durisin, Timo Stöver, Martin Leinung, Andreas Mangold, Marion Rittierodt, and Thomas Lenarz.
• Department of Otorhinolaryngology, Medical University of Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. durisin.martin@mh-hannover.de
• Eur Arch Otorhinolaryngol. 2007 Aug 1;264(8):955-8.

AbstractThe otogenic cerebellar abscess still is one of the most dangerous complications of otitis media and implicates a high risk of mortality. Early diagnosis and therapy are decisive factors for the chances of rehabilitation. Radiologic imaging (CT/MRI) plays an important role. A broad-spectrum antibiotic according to antibiogram is indispensable. The type of surgical intervention depends on the cause and localization of the abscess. In this case the cerebellar abscess was a complication resulting from labyrinthitis, which was propagated through the endolymphatic duct and sac to the posterior fossa dura. Consequently, it could be cured ultimately only after petrosectomy and abscess drainage toward the mastoid cavity. It is mandatory to completely sanitize the infection surgically in order to avoid lethal complication especially in case of a delayed clinical course or recurrent symptoms of labyrinth involvement. Close interdisciplinary collaboration between ORL, neurosurgery and neuroradiology is desirable for successful therapy.

36 keywords...

hide…