Complete resolution of otogenic cerebellar abscess with conservative approach: Two case reports

Abstract

Background: Cerebellar abscess is rare, and these two case reports are examined to consider alternative therapy.

Case presentation: We present two cases of patients with cerebellar abscess. In both cases, patients had the same initial symptoms of fever and central vertigo, with otitis media as the source of infection. However, one patient had generalized onset of tonic-clonic seizure. Both patients were given the same regimen of antibiotics for six weeks and then, evaluated on a clinical and radiological basis via computed tomography (CT) and magnetic resonance imaging (MRI). Sixth weeks after treatment was initiated, No. abscesses were detected in either patient; clinically, there were no complaints or neurological deficits.

Discussion: There are several therapeutic management options in cases of cerebellar abscess. With conservative management (e.g., administering symptomatic drugs and antibiotics), patients can recover completely.

Conclusion: Management of patients with cerebellar abscess is very challenging, but adequate therapy and appropriate prevention of complications can help reduce morbidity and mortality.

Keywords: Cerebellar abscess; Conservative management; Otitis media.