Korean J Otolaryngol-Head Neck Surg.  2001 Jan;44(1):108-112.

A Case of Epidural Abscess Formation and Lateral Sinus Thrombophlebitis Complicating Chronic Otitis Media with Cholesteatoma

• Moon TO
• Min MG
• Yoon JH
• Chang IW

Abstract

The incidence of intracranial complications of otitis media, including lateral sinus thrombophlebitis, has been significantly reduced since the advent of antibiotics. This entity is rarely encountered in clinical practice, and delay in its diagnosis and institution of appropriate therapy may lead to serious, or even fatal, consequences. The signs and clinical course of lateral sinus thrombophlebitis are non-specific and the final diagnosis rests upon radiological investigations including CT-scans and MRI. We have experienced a case of middle fossa and posterior fossa epidural abscess formation, lateral sinus thrombophlebitis that has developed secondary chronic otitis media with cholesteatoma in a 47 year-old female patient. We report this case which was successfully treated by middle fossa dura and posterior fossa dura drainage, lateral sinus thrombectomy with open mastoidectomy.

Keyword

Otitis media; Epidural abscess; Lateral sinus thrombophlebitis

MeSH Terms

Anti-Bacterial Agents
Cholesteatoma*
Diagnosis
Drainage
Epidural Abscess*
Female
Humans
Incidence
Lateral Sinus Thrombosis*
Magnetic Resonance Imaging
Middle Aged
Otitis Media*
Otitis*
Thrombectomy
Transverse Sinuses*
Anti-Bacterial Agents