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March 1975

Neurological Sequelae of Malignant External Otitis

Author Affiliations

From the Department of Neurology, University of California School of Medicine, San Francisco.

Arch Neurol. 1975;32(3):204-205. doi:10.1001/archneur.1975.00490450084012

The neurological sequelae of malignant external otitis (MEO) form a characteristic syndrome. Following Pseudomonas external otitis, usually in an elderly, diabetic patient, either isolated facial nerve paralysis or multiple cranial nerve palsies develop. Once extensive neurological signs have developed, recovery rarely occurs. We saw a patient with MEO and multiple cranial nerve palsies who recovered following an extended course of gentamicin sulfate and carbenicillin disodium therapy.

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