Presentation of the cerebellar abscess and sigmoid sinus septic thrombosis secondary to chronic otitis media: Case presentation and literature review

Abstract

Cerebellar abscess is a serious complication of ear disease. In the present report, a case of cerebellar abscess and thrombosis of the sigmoid sinus, secondary to chronic otitis media is described. A 25-year-old male presented with clinical features suggestive of chronic suppurative otitis media. The patient hospitalized for operation. In postoperative third day the patient began to complain about headache. The patient suddenly began to lose his balance while walking and had difficulty in talking. MRI revealed that there was a cerebellar abscess and operated him for the cerebellar abscess. After 6 weeks antibiotherapy the patient discharged from the hospital as cured. As seen in the literature review; most of the patients having thrombosis of the sigmoid sinus and cerebellar abscess together have showed the symptoms of cerebellar abscess. However, the symptoms of thrombosis of the sigmoid sinus were more prominent than cerebellar abscess in our case unlike many others in the literature.