Intracranial complications of otitis media: In retrospect

  • V. B. Modak
  • V. R. Chavan
  • V. R. Borade
  • D. P. Kotnis
  • S. J. Jaiswal
Main Article



Evaluating intracranial complications of otitis media.


An Evaluative study of 106 cases of intracranial complications secondary to otitis media.


Diagnosis is based on history, clinical exam (general, systemic and ENT), investigations hemogram, X-ray mastoid CT scan brain and mastoid.


  1. 1.

    Medical management:

  1. a.

    IV Higher Antibiotics.

  1. 2.

    Surgery for complicating pathology:

  1. a.

    Pus (in Abscesses)-bram canula aspiration.

  2. b.

    Lateral sinus thrombosis (thrombus removal),

  3. c.

    Otitic hydrocephalus (epidural catheterization).

  1. 3.

    Primary disease eradication:

  1. a.

    Exploration of mastoid.



Fully recovered patients without residual neurodeficit (85%), Morbidity (6%) CSF otorrhoea secondary to otitic hydrocephalus (9%) Mortality: preoperative (3%) and postoperative (6%).


Otological approaches for management of cases of intracranial complications of otitis media are equally comparable with results by neurosurgical approaches of management. Therefore, holding promise if applied in the rural and peripheral parts of India with limited resources even with absence of the expertise of Neurosurgical Department.

Key Words

Otitis media intracramial complications Lateral sinus thrombosis otitic hydrocephalus 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Gower D, McGuirt WF, Intracranial complications of acute and chronic infectious ear disease: A problem still with us: Laryngoscope 1983: 93: 1028–33.PubMedCrossRefGoogle Scholar
  2. 2.
    Mawson SR. Complications of suppurative otitis media. Diseases of the Ear: London: Published by Edward Arnold: 1988: p. 479–507.Google Scholar
  3. 3.
    Freeman J. Changing concepts in the management of otitic intracranial infections: Use of computerized axial tomography in early detection and monitoring of cerebritis: Laryngoscope. 1984.Google Scholar
  4. 4.
    Carlos MC, Fernandes Intracranial otogenic complications with antibiotic ear and CT scan. Laryngoscope 1986.Google Scholar
  5. 5.
    Go C, Bernstein JM, de Jong AL. et al. Intracranial complications of acute mastoiditis: Int J Paediatr Otorhinolaryngol 2000: 52: 143–8.CrossRefGoogle Scholar
  6. 6.
    Lenz RP, Macdonald GA. Otitic Hydrocephalus: Laryngoscope 1984: 94: 1451–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Burgos SAJ, Aleman O, Polo TL. et al. Otitic Hydrocephalus: A report of two cases: Acta Otorhinolaryngol Esp 1999: 50: 553–7.Google Scholar
  8. 8.
    Tomkinson A, Mills RG, Cantrel PJ. The pathophysiology of otitic hydrocephalus: J Laryngol Otol 1997: 111: 757–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Brown M. Ossicular damage in chronic middle ear infections. Excerpta Media Otorhinolaryngol Esp 1999: 45.Google Scholar
  10. 10.
    Schwager K, Carduci F. Endocranial complications of acute and chronic otitis media in children and adolescents: Laryngorhinootologie 1997: 76: 335–40.PubMedGoogle Scholar
  11. 11.
    Gulati J. Study of bacterial flora in chronic suppurative otitis media: Indian J Otolaryngol 1969: 21.Google Scholar
  12. 12.
    Singh B, Maharaj TJ. Radical mastoidectomy, its place in otitic intracranial complications: J Laryngol Otol 1993: 107: 1113–8.PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • V. B. Modak
    • 1
  • V. R. Chavan
    • 1
  • V. R. Borade
    • 1
  • D. P. Kotnis
    • 1
  • S. J. Jaiswal
    • 1
  1. 1.Department of ENTV.M.M.C.SolapruIndia

Personalised recommendations