1/5. A case of pneumocephalus and meningitis as a complication of silent otitis media.Silent otitis media is a progressive otogenic disease. Intracranial manifestations of this complication are limited; the most common is meningitis. We report a case of meningitis and pneumocephalus as a complication of silent otitis media. To the best of our knowledge, this is the first reported case of pneumocephalus as a complication of silent otitis media.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
2/5. pneumocephalus at the cerebellopontine angle secondary to chronic otitis media.Intracranial air is usually asymptomatic but carries a potential risk of increased intracranial pressure or meningitis which require immediate therapy. Although pneumocephalus is quite common following trauma, especially with a fracture involving paranasal sinuses it is a rare manifestation of chronic otitis media. In this report, a case with a tension pneumocephalus at the cerebellopontine angle following a chronic mastoid infection is presented and the possible mechanism, diagnostic measures and the surgical management is discussed.- - - - - - - - - - ranking = 0.71428571428571keywords = otitis (Clic here for more details about this article) |
3/5. Otogenic pneumocephalus.Fifty-four previously reported cases of otogenic pneumocephalus were analyzed in addition to five new cases which are presented in detail. Forty-one males and 18 females were included with 95% of the patients being over 12 years of age. The most common presenting symptom was headache, and the ventricular system was the intracranial space most commonly involved. Tension pneumocephalus was present in 40 (66%) cases. Trauma (36%) was the most common etiologic factor, while otitis media (30%), otologic surgery (30%), and congenital defects (2%) accounted for the rest. The overall mortality was 12% with all patients succumbing to causes other than pneumocephalus. Because of its lack of specific symptoms, pneumocephalus was usually unsuspected and the diagnosis made only after radiographic evaluation. Despite its rarity, pneumocephalus has to be considered whenever the dura is violated, especially if associated with a CSF leak. Management depends on the degree of tension, symptomatology, and underlying cause. When associated with trauma or surgery, bedrest and close monitoring may suffice, although needle aspiration or re-exploration may be needed. When secondary to otitis media or a congenital defect, control of any infection and repair of the defect are mandatory.- - - - - - - - - - ranking = 0.28571428571429keywords = otitis (Clic here for more details about this article) |
4/5. Otogenic pneumocephalus secondary to chronic otitis media.Spontaneous pneumocephalus is currently a rare manifestation of chronic otitis media. Although a rarity, the diagnosis must be considered when a patient has neurologic complaints and chronic otitis media. Despite the importance of early recognition and treatment in preventing potentially fatal complications, it has been noticeably neglected in recent otolaryngologic literature. We report a case, review the literature, and discuss the related pathophysiology. This case demonstrates the need for at least skull roentgenograms in patients with positive neurologic history and chronic otitis media and the danger of neglecting the proper treatment of cholesteatoma.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
5/5. pneumocephalus associated with fracture of thoracic spine: case report.A 53-year-old man presented with pneumocephalus following a thoracic vertebral fracture. Computed tomography (CT) myelography revealed a leakage of contrast medium from the thecal sac in the vicinity of the vertebral fracture and was used to confirm the origin of a subarachnoid-pleural fistula.- - - - - - - - - - ranking = 0.011704368886341keywords = medium (Clic here for more details about this article) |