Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 3741  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
  » Next article
  » Previous article 
  » Table of Contents
 Resource Links
  »  Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
  »  Article in PDF (77 KB)
  »  Citation Manager
  »  Access Statistics
  »  Reader Comments
  »  Email Alert *
  »  Add to My List *
* Registration required (free)  

  In this Article
 »  References

 Article Access Statistics
    PDF Downloaded86    
    Comments [Add]    

Recommend this journal

Year : 2003  |  Volume : 51  |  Issue : 2  |  Page : 294-295

Spontaneous evacuation of cerebellar abscess through the middle ear

Medical College Hospital Raipur, Chhattishgarh

Correspondence Address:
Medical College Hospital Raipur, Chhattishgarh

How to cite this article:
Upadhyay P K, Tiwary G. Spontaneous evacuation of cerebellar abscess through the middle ear . Neurol India 2003;51:294-5

How to cite this URL:
Upadhyay P K, Tiwary G. Spontaneous evacuation of cerebellar abscess through the middle ear . Neurol India [serial online] 2003 [cited 2023 May 31];51:294-5. Available from:

Brain abscess is an important cause of morbidity and mortality, especially in under- developed countries where the incidence is around 8% of all brain-space-occupying lesions.[1] The treatment of brain abscess has changed over the years. The surgical protocol ranges from open surgical resection of the abscess to burr hole drainage of the pus. Stereotactic assistance has recently been employed in the management of deep-seated brain abscess. Improved surgical techniques and the introduction of a range of antibiotics have resulted in a significantly improved outcome in such cases.[2],[3],[4] An unusual case of spontaneous evacuation of the cerebellar abscess is reported.
A 10-year-old girl had a history of middle ear infection in the right ear since childhood. The pus discharge from the ear continued intermittently over the years. She had severe occipital headache, recurrent vomiting, severe ataxia and altered sensorium for 2 days. She was drowsy and had marked papilledema. There were right cerebellar signs. CT scan showed a right cerebellar abscess with mild hydrocephalus. While she was being prepared for surgery, the patient noticed egress of a large amount of pus through the right ear. She had remarkable relief from all her symptoms.
Repeat CT scan showed collapse of abscess cavity. The middle ear cavity showed haziness and an air bubble. An otolaryngologist did the further management of the patient.
Brain abscesses can occur at any age but these are especially common in the first decade of life. [1],[2],[4] Forty per cent of brain abscesses occur from direct spread of infection from the paranasal sinuses, middle ear or mastoid sinus.[3]
Spontaneous drainage or evacuation of cerebellar abscess from the ear was an unusual feature and has not been reported before. Raised intracranial pressure, persistence of a fistula connecting the cerebellar abscess with the middle ear cavity and perforation in the tympanic membrane could have assisted the spontaneous abscess drainage.

  »   References Top

1.Bhatia R, Tandon PN, Banerji AK. Brain abscess - an analysis of 55 cases. Int Surg 1973;58:565-8.  Back to cited text no. 1  [PUBMED]  
2.Courville CB. L Subdural empyema secondary to purulent frontal sinusitis. A clinicopathologic study of forty-two cases verified at autospy. Arch Otolaryngol 1994;39:211.  Back to cited text no. 2    
3.Farmer TW, Wise GR. Subdural empyema in infants, children and adults. Neurology 1973;23:254.  Back to cited text no. 3  [PUBMED]  
4.Kaufman DM, Miller MH, Steigbigel NH. Subdural empyema. Analysis of 17 recent cases and review of the literature. Medicine 1975;54:485.  Back to cited text no. 4    


Print this article  Email this article
Previous article Next article
Online since 20th March '04
Published by Wolters Kluwer - Medknow