Otogenic brain abscess - a pause to step forward

Abstract

A 31yrs old lady presented to our department with history of persistent discharge from the left ear since 3years and progressive hearing loss since 7 months. Audiometry and other workup needed for surgery was done and planned for right ear tympanoplasty with cortical mastoidectomy. On the day, prior to surgery, patient had intractable headache which was not subsided with any medications so was adviced for contrast enhanced CT scan of brain. It showed oedema of the cerebellar region so radiologist and neurosurgeon opinion was sought and suggested no drainage as there was no evidence of fully formed pus.