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Cerebellar Venous Infarction in Chronic Suppurative Otitis Media Stroke 25:1058-1060, Nayak,A.K.,et al, 1994 See this aricle in Pubmed Article Abstract A 20-year-old man presented with clinical features suggestive of chronic suppurative otitis media.Computed tomographic scan of the brain revealed left mastoiditis with cholesteatoma and moderate communicating hydrocephalus.The patient was subjected to left radical mastoidectomy,and an attico-antral cholesteatoma was removed.Subsequently the patient developed clinical features suggestive of cerebellar abscess.A repeat computed tomographic scan revealed normal posterior fossa.Four-vessel angiographic revealed left sigmoid and lateral sinus thrombosis and nonopacification of the left-sided cerebellar veins.Magnetic resonance imaging showed a venous infarct in the left cerebellar hemisphere.The patient was treated with cerebral dehydration measures.The patient subsequently improved and hod no neurological deficit 3 months after surgery.Although cerebellar venous infarction is rare,it can occur in chronic suppurative otitis media,pregnancy,antithrombin III deficiency,and diabetic osmolar coma.Sometimes no cause is found.Treatment includes correction of the underlying cause.The presence of a hemorrhagic lesion on computed tomographic scan and deep coma at presentation indicate poor prognosis.

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(click to filter results - removes previous filter) cerebellar infarction cerebral venous thrombosis dural sinus thrombosis mastoiditis MRI MRI,abnormal otitis,neurologic complications with

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