頁籤選單縮合
題 名 | Otogenic Brain Abscess--A Case Report=耳源性腦膿瘍--病例報告 |
---|---|
作 者 | 陳柏蒼; 何坤瑤; 戴志峰; 蘇國瑞; 林義峰; 郭文烈; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:3 2000.03[民89.03] |
頁 次 | 頁162-165 |
分類號 | 416.821 |
關鍵詞 | 耳源性腦膿瘍; Brain abscess; Cholesteatoma; |
語 文 | 英文(English) |
中文摘要 | 耳源性腦膿瘍現今多發生於慢性中耳炎合併膽脂瘤的病人,在抗生素被 廣泛使用的今日已甚為罕見。本文報告壹例,患者為49歲女性,因頭痛、右耳 聽力障礙與閉塞感在神經內科開業醫處求診已兩年餘。某日由於劇烈頭痛及右耳 突然耳漏前來本科急診,局部檢查發現右耳耳膜破裂且鼓頂充滿肉芽組織,疑為 慢性中耳炎合併膽脂瘤。門診高解析度顳骨電腦斷層攝影顯示除右側中耳腔病變 外,同側大腦顳葉有兩相鄰大小不一之腦膿瘍。患者接受中耳顯微手術;術中發 現膽脂瘤和肉芽組織充滿中耳裂;聽小骨中槌骨和砧骨受損且鼓室Tegmen處骨 質部受破壞;術中進行細菌培養;最後完成修正型根治乳突切除術。後細菌培養 結果是Pseudomonas aeruginosa和Stenotrophomonas maltophilia,依其藥物敏感性測 驗給予口服抗生素Quinolone三個月。目前患者恢復良好,術後迄今兩年餘,除 術前即存在之右側傳導性聽障外,至今無其他明顯後遺症。 |
英文摘要 | Brain abscess is one of the life-threatening complications of otitis media. Mortality and morbidity have decreased with the advent of antibiotic therapy. More frequently encountered in cases of acute otitis media in the preantibiotic era, in recent years otogenic brain abscess was noticed almost only in patients of chronic otitis media with cholesteatoma. A case of brain abscess in a 49-year-old female was initially diagnosed as a headache. A high resolution computed tomography (HRCT) scan of the temporal bones later revealed that there were two abscesses over the right side temporal lobe. A modified radical mastoidectomy was performed. Cultures of the middle ear cholesteatoma later grew Pseudomonas aeruginosa and Strenotrophomonas maltophilia. Antibiotic therapy was carried on for three months postoperatively. The patient improved but retained a conductive hearing loss. |
本系統中英文摘要資訊取自各篇刊載內容。