Surgical corridors for congenital aural atresia with otogenic cerebellar abscess and lateral sinus thrombosis

BMJ Case Rep. 2021 May 19;14(5):e239403. doi: 10.1136/bcr-2020-239403.

Abstract

The following is a case report of an adolescent with mental retardation who had congenital aural atresia with contralateral congenital facial palsy. She developed multiple intracranial complications (cerebellar abscess and lateral sinus thrombosis) due to cholesteatoma. We managed her in a multidisciplinary approach. This report discusses case management, emphasising the meticulous intraoperative steps taken in identifying the landmarks and precautions adopted to avoid postoperative facial palsy and other complications.

Keywords: cranial nerves; neuro-otology; neurosurgery; otitis; otolaryngology / ENT.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Brain Abscess* / diagnostic imaging
  • Brain Abscess* / surgery
  • Cerebellar Diseases* / complications
  • Cerebellar Diseases* / diagnostic imaging
  • Cholesteatoma* / complications
  • Cholesteatoma* / diagnostic imaging
  • Cholesteatoma* / surgery
  • Female
  • Humans
  • Lateral Sinus Thrombosis* / diagnostic imaging
  • Lateral Sinus Thrombosis* / etiology
  • Otitis Media* / complications
  • Retrospective Studies