Section: 
From practice
From practiceMultiple otogenic brain abscesses in a child
A. A. Krivopalov (1), D. V. Leiko (2), A. Yu. Shcherbuk (3), Yu. A. Shcherbuk (3), P. A. Shamkina (1), A. M. Markova (3)
(1) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russia
(2) Holy Martyr Elizabeth City Hospital, Saint Petersburg, 195257, Russia
(3) Saint Petersburg State University, Saint Petersburg, 199034, Russia
UDK: 616.831-002.3-02:616.28-089.87-053.37
DOI: https://doi.org/10.18692/1810-4800-2019-5-96-101
ABSTRACT
Today, the relevance of the problem of ENT-associated inflammatory intracranial complications in children is out of the question, because despite the introduction of new diagnostic technologies, the increased possibilities of conservative medicine and the improvement of surgical treatment methods, the rates of hospital mortality and disability of children do not tend to decrease. It is primarily due to the lack of a uniform algorithm of early diagnosis and hospitalization of the patient, recommendations for treatment of this pathology, namely: the optimal technique of surgical interventions, the tactics of intensive treatment of patients, the methods of postoperative rehabilitation of this category of patients. All these factors testify of the absence of a unified concept of an interdisciplinary approach to the patients with ENT-associated intracranial complications at all the stages of care provision. The article presents a clinical case of otogenic meningoencephalitis, brain abscesses in a child as a result of acute suppurative otitis media. The authors present a plan of comprehensive examination and the tactics of surgical and conservative treatment of a patient.
Publication date:
25.10.2019
Keywords:
otorhinolaryngology, neurosurgery, specialized care, interdisciplinary approach, intracranial complications of ENT organs, otogenic intracranial complications, brain abscess, purulent otitis media. For citation:
Krivopalov A. A., Leiko D. V., Shcherbuk A. Yu., Shcherbuk Yu. A., Shamkina P. A., Markova A. M. Multiple otogenic brain abscesses in a child. Rossiiskaya otorinolaringologiya. 2019;18(5):96–101. https://doi.org/10.18692/1810-4800-2019-5-96-101