Objective: To evaluate the demographic features, clinical presentation, site of abscess and bacterial isolates in patients with otogenic intracranial abscess and to assess the outcome of emergency treatment of these cases. Material and Methods: This study was conducted in the department of ENT and Head & Neck Surgery, Khyber Teaching Hospital, Peshawar from January 2005 to December 2010. A tota...

Transorbital intracranial penetrating injury is an uncommon mechanism of head injury. These injuries can be occult during the initial clinical presentation. Certain patients develop an intracranial cerebral infection. Herein, we report a 5-year-old child with an occult transorbital intracranial penetrating injury caused by a pen. A retained pen tip was found at the superior orbital roof and was...

Intracranial complications of otitis media are still a condition of risk with a high mortality rate, notwithstanding the significant reduction of such complication with the advent of antibiotics. Although less frequent, chronic cholesteatomatous otitis media is usually associated with the highest risk of complications, given its destructive and invasive potential. These complications may be sub...

Four cases of cerebral Serratia infection in preterm infants were diagnosed with the aid of real-time sector sonography. Three cases had brain abscesses and one case had ventriculitis. In two cases brain abscesses had ruptured into the ventricles. Serratia brain abscess was common in our series of brain abscesses. Sonographic patterns of cerebritis, abscess formation, and ventriculitis correlat...

Nocardial infection of the central nervous system is rare and usually manifests as brain abscess. Here we describe an elderly gentleman who presented with signs and symptoms of an intracranial mass lesion localising to the frontal lobe. Clinical examination and CT scan suggested neoplasia as the probable diagnosis. A biloculated abscess was seen at surgery. Aspiration of the contents and examin...

The diagnosis of intracranial focal lesions based on imaging studies is a challenge. In brain abscess, proton magnetic resonance spectroscopy (1H-MRS) is useful to define etiology, differentiating anaerobic from aerobic pathogens and inclusive sterile abscess based on the behavior of certain metabolites. We report a patient with Rendu-Osler-Weber syndrome, pulmonary arteriovenous fistulas, and ...

INTRODUCTION Brain abscess in pregnancy is very rare, which mostly progresses to neurological abnormalities. CASE PRESENTATION The patient is a 24-year-old pregnant woman. She was referred to Saitama hospital due to severe headache and nausea on October 2008. Brain MRI detected a 1.5 cm abscess mass with extensive edema in the right frontal lobe. We performed intensive therapy using some anti...

CNS infection occurring after therapeutic angiography is rare. We present a case report of a brain abscess complicating endovascular coiling of an intracranial aneurysm. We recommend the use of prophylactic antibiotics, especially when performing therapeutic CNS angiography.

Acute or chronic otitis media can cause intracranial complications, one of the most serious being brain abscess. Empirical antibiotic treatment and proper surgical management should be considered to avoid fatal consequences. However, proper extent and optimal timing of surgical intervention are still matters of debate. We present a case of a 31-year-old man who presented with acutely altered me...

Objective: To identify new factors influencing the onset of intracranial otogenic complications in adults. Study Design: Retrospective cohort Place and Duration Study: Department ENT, Nowshera Medical College, Qazi Complex from 1st October 2019 to 31st 2020. Methodology: One thousand nine hundred cases within age 40-78 years were enrolled. The data before viral pandemic corona virus was compare...