scholarly journals Mastoiditis and Tegmen Tympani Defect Leading to Intracranial Abscess with Actinomyces odontolyticus

2020 ◽  
pp. 1-4
Author(s):  
Omar S. Akbik ◽  
Omar S. Akbik ◽  
M. Gabriela Cabanilla ◽  
Bradley P. Pickett ◽  
Christian B. Ricks
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
Middle Ear ◽  
Middle Cranial Fossa ◽  
Cerebral Abscess ◽  
Source Control ◽  
Left Temporal Lobe ◽  
Tegmen Tympani ◽  
Cranial Fossa

Introduction: Central nervous system (CNS) actinomycosis typically presents from the local spread of infection via the ear, sinus, or cervicofacial region, resulting most commonly in abscesses. Only one other case report reports on cerebral abscess with Actinomyces odontolyticus. Presentation of Case: A 60-year-old male presented with cognitive impairment and speech difficulties. Imaging revealed a cerebral abscess in the left temporal lobe causing significant mass effect and uncal herniation. Bony erosion was noted along the middle cranial fossa with fluid attenuation of the middle ear and mastoid. An emergent surgery was performed with neurosurgery and otolaryngology. Initially, a left craniotomy was performed in order to obtain access to the left temporal lobe. A vascularized flap was harvested from the fascia of the temporalis in order to repair any defects along the middle cranial fossa. The abscess was drained using ultrasound guidance. A mastoidectomy was then performed for source control. Cultures revealed Actinomyces odontolyticus for which intravenous antibiotics were administered. The patient developed postoperative seizures requiring monitoring and anti-epileptic medication. Follow-up revealed continued improvement in the patient’s cognition. Discussion: Cerebral abscess in the temporal lobe along the floor of the middle cranial fossa can be due to direct extension of infection from the middle ear or mastoid which requires a multidisciplinary approach to surgical treatment. Actinomycosis is a rare pathogen for CNS infection with only one other case report of CNS Actinomyces odontolyticus. Postoperative care in regards to antibiotic treatment and follow-up are also reviewed. Conclusion: The case highlights the urgency of treatment and surgical decision making made intraoperatively by both neurosurgery and otolaryngology in regards to drainage, repair of the defect, and treatment of infectious source.

scholarly journals Spontaneous encephaloceles of the temporal lobe

2008 ◽  
Vol 25 (6) ◽  
pp. E11 ◽  
Author(s):  
Joshua J. Wind ◽  
Anthony J. Caputy ◽  
Fabio Roberti
Keyword(s):  
Temporal Lobe ◽  
Middle Ear ◽  
Intractable Epilepsy ◽  
Middle Cranial Fossa ◽  
Brain Parenchyma ◽  
Endoscopic Techniques ◽  
Tegmen Tympani ◽  
Clinical Series ◽  
Cranial Fossa ◽  
Dural Defects

Encephaloceles are pathological herniations of brain parenchyma through congenital or acquired osseus-dural defects of the skull base or cranial vault. Although encephaloceles are known as rare conditions, several surgical reports and clinical series focusing on spontaneous encephaloceles of the temporal lobe may be found in the otological, maxillofacial, radiological, and neurosurgical literature. A variety of symptoms such as occult or symptomatic CSF fistulas, recurrent meningitis, middle ear effusions or infections, conductive hearing loss, and medically intractable epilepsy have been described in patients harboring spontaneous encephaloceles of middle cranial fossa origin. Both open procedures and endoscopic techniques have been advocated for the treatment of such conditions. The authors discuss the pathogenesis, diagnostic assessment, and therapeutic management of spontaneous temporal lobe encephaloceles. Although diagnosis and treatment may differ on a case-by-case basis, review of the available literature suggests that spontaneous encephaloceles of middle cranial fossa origin are a more common pathology than previously believed. In particular, spontaneous cases of posteroinferior encephaloceles involving the tegmen tympani and the middle ear have been very well described in the medical literature.

scholarly journals Large Cholesterol Granuloma of the Middle Ear Eroding into the Middle Cranial Fossa

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Tessei Kuruma ◽  
Tohru Tanigawa ◽  
Yasue Uchida ◽  
Ogawa Tetsuya ◽  
Hiromi Ueda
Keyword(s):  
Middle Ear ◽  
Middle Cranial Fossa ◽  
Uneventful Recovery ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Canal Wall ◽  
Cortical Mastoidectomy ◽  
Cranial Fossa ◽  
Canal Wall Down

Background. Cholesterol granuloma of the middle ear is extremely rare in comparison to cholesterol granuloma of the petrous apex but sometimes shows an aggressive course.Case Report. We report herein a case involving a large, aggressive cholesterol granuloma of the middle ear that eroded the middle cranial fossa. A 64-year-old woman presented with pain in the left ear and hearing loss. Cholesterol granuloma was finally diagnosed from diffusion-weighted imaging, and cortical mastoidectomy was performed with canal wall down tympanoplasty type III. Recovery was uneventful recovery and the patient well at the 3-year follow-up.Conclusion. This case demonstrates the rare but clinically important pathology of aggressive cholesterol granuloma of the middle ear.

scholarly journals THE REMOVAL OF A FOREIGN BODY FROM THE LEFT TEMPORAL LOBE AND STRUCTURES OF THE MIDDLE CRANIAL FOSSA

2018 ◽  
Vol 7 (2) ◽  
pp. 160-164
Author(s):  
V. A. Lukyanchikov ◽  
A. Y. Kordonsky ◽  
A. S. Tokarev
Keyword(s):  
Surgical Treatment ◽  
Temporal Lobe ◽  
Full Range ◽  
Cranial Nerves ◽  
Middle Cranial Fossa ◽  
Left Temporal Lobe ◽  
Specialized Hospital ◽  
Neurosurgical Patients ◽  
Great Vessels ◽  
Cranial Fossa

Penetrating brain injury is a rare but serious type of brain trauma. This article describes a successful surgical treatment of a victim with a wound of the left temporal lobe, great vessels and cranial nerves. Patients with damageв structures of the middle cranial fossa have to undergo surgical treatment in a specialized hospital with the possibility of comprehensive preoperative examination the availability of intensive care for neurosurgical patients with a full range of necessary medicines. Effective hemostatic materials are to be used to prevent intraoperative bleeding. In the absence of hemostatic materials, the operation is impractical.

scholarly journals Spermatorrhea in a Chinese patient with temporal lobe epilepsy: a case report

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Sexual Dysfunction ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Neurological Disorder ◽  
Premature Ejaculation ◽  
Chinese Patient ◽  
Left Temporal Lobe ◽  
Rare Manifestation

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.

Sign in / Sign up

Export Citation Format

Share Document