Management of Otogenic intracranial complications

Otogenic intracranial complications are dreadful sequel of chronic middle ear infection. Most of the complications follow chronic suppurative otitis media (CSOM), although there is increasing trend towards intracranial complications due to acute suppurative otitis media (ASOM). Warning symptoms of ear pain, vomiting, headache, fever, and altered consciousness in patients with otitis media should be dealt as an emergency. CT scan is the most relevant investigation in establishing the diagnosis and follow up. Extradural abscess is the commonest intracranial complication. Most of the patients underwent surgery and neurosurgical procedure takes precedence over ear surgery. Mortality rate was 5.7%.