Korean J Otorhinolaryngol-Head Neck Surg.  2014 Jun;57(6):411-414. 10.3342/kjorl-hns.2014.57.6.411.

A Case of Temporal Lobe Abscess Following Mastoidectomy

• Goh JY
• Park CH
• Lee IW
• Oh SJ

• KMID: 2277814
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.6.411

Abstract

We report a case of complicated temporal lobe abscess following mastoidectomy. The patient complained of a headache after surgery, however, he was discharged as his symptom was considered to be a common postoperative headache. He revisited our due to a generalized tonic-clonic seizure, and the CT and MRI findings suggested the diagnosis of temporal lobe abscess. The patient was successfully treated with antibiotics instead of surgical treatment. Although the cerebral abscess following mastoidectomy is extremely rare, it is necessary to pay attention to it. Particularly when the patient complains of a headache, it is important to consider the aspects of headache carefully. Bone defect in tegmen tympani and exposure of dura will increase the risk of cerebral abscess, therefore careful caution is required in the presence of lower dura mater.

Keyword

Brain abscess; Tympanomastoidectomy

MeSH Terms

Abscess*
Anti-Bacterial Agents
Brain Abscess
Diagnosis
Dura Mater
Headache
Humans
Magnetic Resonance Imaging
Seizures
Temporal Lobe*
Anti-Bacterial Agents