Otogenic cerebral venous infarction:: a rare complication of acute otitis media

A case of cerebral venous infarction (CVI) as a complication of acute otitis media (AOM) was presented in a 16-month-old mate patient. The patient admitted with AOM in the right ear, ipsilateral facial paralysis and contratateral hemiplegia. Computerized tomography of the brain showed tow density areas involving both the cortex and subcortical white matter in the right frontoparietal region, and there were patchy and multifocal enhancing areas with intravenous contrast enhancement. These findings disclosed the diagnosis of venous infarctions involving the superficial cortical veins on the right side. Complete recovery was achieved with 2 weeks of sulbactam-ampicilline, amikacin and prednisolone treatment. Although it is rather rare, CVI should also be remembered among the otogenic intracranial complications. (C) 2003 Elsevier Ireland Ltd. All rights reserved.