What are intracranial complications in malignant otitis externa (MEO)?

Updated: Apr 13, 2020
  • Author: Brian Nussenbaum, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

These complications rarely occur in the absence of cranial nerve palsies. Meningitis, brain abscess, and dural sinus thrombosis may ensue. Cranial neuropathies related to the jugular foramen should raise concern for sigmoid sinus thrombosis. Cavernous sinus thrombosis should be considered if cranial nerves V or VI are affected. Intracranial complications reflect severe disease and are commonly fatal.


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