Abstract
In spite of significant decrease after antibiotic advent, intracranial complications of otitis media still represent a challenging situation owing to its high mortality rate (36%). The most common presentations are meningitis, cerebral abscess, extradural abscess and lateral sinus thrombophlebitis. For early management, it is necessary to have a high index of suspicion. It is important to identify non-typical cases because they might be masqueraded by antibiotic use. We present six cases of intracranial complications due to otitis media in children and adolescents at Complexo Hospitalar Santa Casa de Porto Alegre for the past two years. Series review.
Highlights
In the pre-antibiotic era, there was significant incidence of mastoiditis and intracranial complications (ICC) caused by otitis media, which presented high rate of mortality
The most common ICC are meningitis, cerebral abscess, extradural abscess and thrombophlebitis of lateral sinus (TLS) 4. In this series of cases, we present six patients who had ICC caused by chronic suppurative otitis media in the Service of Otorhinolaryngology, Complexo Hospitalar Santa Casa (CHSC), Porto Alegre for a period of 2 years
CASE REPORT Within a period of 2 years (April 2000 to May 2002), we received 6 cases of chronic otitis media with intracranial complications (ICC) in the Service of Pediatric Otorhinolaryngology, Hospital da Criança Santo Antônio, Complexo Hospitalar Santa Casa, Porto Alegre
Summary
I n spite of significant decrease after antibiotic advent, intracranial complications of otitis media still represent a challenging situation owing to its high mortality rate (36%). The most common presentations are meningitis, cerebral abscess, extradural abscess and lateral sinus thrombophlebitis. It is important to identify non-typical cases because they might be masqueraded by antibiotic use. Aim: We present six cases of intracranial complications due to otitis media in children and adolescents at Complexo Hospitalar Santa Casa de Porto Alegre for the past two years. Porto Alegre – Complexo Hospitalar Santa Casa, Porto Alegre. Affiliation: Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, Service of Pediatric Otorhinolaryngology, Hospital da Criança Santo Antônio, Complexo Hospitalar Santa Casa de Porto Alegre. Address correspondence to: José Faibes Lubianca Neto – Rua Dona Laura 320 9oandar Porto Alegre RS 90430-090
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