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January 1970

Otogenic Brain Abscess: Report of Three Cases

Arch Otolaryngol. 1970;91(1):91-93. doi:10.1001/archotol.1970.00770040117021

OTOGENIC brain abscess is now becoming an almost forgotten otologic entity. Patients with acute otitis media are cured by means of antibiotics and those with chronic suppurative otitis media are operated upon early enough to diminish the risk of an intracranial complication. In the period 1930 to 1960 there were 99 cases of otogenic brain abscess in our hospital.1 Since 1961 (up to January 1969) we have treated the following three cases.

Report of Cases  Case 1.—A 37-year-old man was first seen on Nov 13, 1961. During World War II he had stepped on a mine resulting in the loss of both eyes and upper limbs. Since then, his right ear had been running from time to time. He complained of headache on the right side and of the running right ear. The headache had lasted two weeks. Examination showed a right central perforation with granulations on the promontory.