Abstract

The complications of acute otitis media remain an unsolved problem in pediatrics, as they often lead to disability of children. The damage to the nervous system is the most dramatic complications of acute purulent otitis media. Neurological complications include both intracranial lesions of the central nervous system (meningitis, encephalitis, brain abscesses) and neuropathy of the cranial nerves. We presented clinical cases of various neurological complications of otitis media, analyzed diagnostic and therapeutic errors and showed the ways to solve this difficult problem.

Highlights

  • The complications of acute otitis media remain an unsolved problem in pediatrics, as they often lead to disability of children

  • The damage to the nervous system is the most dramatic complications of acute purulent otitis media. Neurological complications include both intracranial lesions of the central nervous system and neuropathy of the cranial nerves

  • We presented clinical cases of various neurological complications of otitis media, analyzed diagnostic and therapeutic errors and showed the ways to solve this difficult problem

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Summary

Introduction

The complications of acute otitis media remain an unsolved problem in pediatrics, as they often lead to disability of children. Неврологические осложнения острых средних отитов у детей средний отит, паралич отводящего нерва и сильные головные боли по ходу первой ветви тройничного нерва На мультиспиральной рентгеновской компьютерной томографии (МСКТ) височных костей и головного мозга с контрастированием – тотальное снижение пневматизации и деструкция в области мелких клеток сосцевидного отростка правой височной кости, участки разрежения в области пирамиды височной кости справа; признаки эпидурального абсцесса над сигмовидным синусом

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