Epidural Abscess

  • Definition: Collection of pus between the dura and the skull bone (middle or posterior cranial fossa).
  • Meningitis abscess is the commonest intracranial complication of otitis media.

Clinical Picture

  • Persistent headache on the side of otitis media
  • Pulsating discharge
  • Fever
  • Asymptomatic (discovered during surgery)

Diagnosis

  • CT scans reveal the abscess as well as the middle ear pathology.

Treatment

  • Mastoidectomy and drainage of the abscess
  • Systemic antibiotics