OTOGENIC BRAIN ABSCESS, OUR EXPERIENCE AT PESHAWAR INSTITUTE OF MEDICAL SCIENCES

ABSTRACT
Objective: The objective of the study was to determine the clinical manifestation, management and outcome of otogenic
brain abscess.
Material And Methods: The study was descriptive study conducted from 1st Jan 2013 to 31st Dec 2014 at Peshawar
Institute of Medical Sciences, Peshawar. Total number of 32 patients having otogenic brain abscess of all ages and both
sex were included in the study. Brain abscess of other origin were excluded from the study. The study was designed
to determine the clinical manifestation, management and outcome of otogenic brain abscess.
Results: In our study 21 out of 32 patients were male with 71.9% patients less than 15 years of age. Clinical features
like ear discharge, headache and vomiting were present in all 32 patients. Cerebral abscess was found in 19/32 patients
(59.4%) while cerebellar abscess in 11/32 patients (34.4%). All the patients were treated with antibiotic coverage and
abscess drainage via burr hole initially and excision of abscess cavity in three unresolved cases. later on all patients
were referred to ENT unit for eradicating the primary source by mastoidectomy.
Conclusion: In spite of excellent antibiotic treatment, intracranial otogenic complications are still high as well as life
threatening and needs multidisciplinary treatment strategy for better outcome.
Key Words: Otogenic brain abscess, mastoidectomy