Brain Abscess

  • Definition: Localized suppuration in the brain substance.
  • It is the most lethal complication of suppurative otitis media.
  • Incidence: 50% is otogenic brain abscess.

Pathology

  • Site: Temporal lobe or, less frequently, in the cerebellum (more dangerous).

Diagnosis

  • CT scans
  • MRI

Treatment

  • Medical:
    • Systemic antibiotics
    • Measures to decrease intracranial pressure
  • Surgical:
    • Neurosurgical drainage of the abscess
    • Mastoidectomy