BRAIN ABSCESS DUE TO EAR INFECTION

BRAIN ABSCESS DUE TO EAR INFECTION
Middle ear is separated fom brain by a very thin plate of bone .Infection can erode this plate. Initially there is generalised inflammation. Later infection is localized to form an abscess. High index of suspicion is necessary to diagnose this condition. Patient becomes gravely ill with high fever,headache, altered level of consciousness , vomiting and fits.CT scan is ordered as soon as possible. Neurosurgeon will drain the abscess through a hole in the scull cap. Strong intravenous antibiotics are given along with anti epileptic drugs. Treatment of ear infection is deferred until the brain abscess is completely cured. Mortality is very high even in best centers. Therefore it is very important to treat ear infections properly.