耳性頭蓋内合併症をきたした2症例髄膜炎と側頭葉膿瘍

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We report 2 cases of meningitis and temporal lobe abscess of otogenic origin. In case 1, a 52-year old man was admitted to our hospital for abrupt hea d ache and right otalgia. He was diagnosed as having acute meningitis secondary to cholesteatoma. He was cured by intravenous antibiotic therapy and removal of cholesteatoma by the intact canal wall tympanoplasty (staged tympanoplasty). In case 2, a 54-year old man was diagnosed as havin g chronic mastoiditis and received tympanoplasty, but 9 days after the operation, a CT scan of the brain showed temporal lobe abscess. Administration of antibiotics in massive doses and mannitol, redused the size of the abscess progressively. Then total removal of the abscess was performed after 6 weeks. Postoperatively, he was asymptomatic except for slight aphasia.
耳鼻咽喉科臨床学会の論文