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박시영,민정하,류지운,고영승 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.12
Despite advances in imaging and antibiotic treatment, brain absces is still encountered occasionally and is one of the most sig-nificant life-threatening complications of otologic disease. Nowadays, mortality rates of up to 10 percent have been reported. itis media. In this case, underlying middle ear pathology showed chronic otitis media with cholesteatoma. Successful management of otogenic brain abscess still includes medical and surgical treatment. Initial surgical treatment of abscess is very controversial today. Some authors prefer the surgical excision of brain absces prior to the management of temporal bone, yet other authors prefer the surgery of temporal bone prior to the management of brain absces. Although an enterococus is a significant cause of uncommon clinical entities. Because of the relatively small number of individuals who develop brain abscess or meningitis due to an enterococcus, an appropriate therapy has not been well defined. We report a case of enterococcal otogenic brain abscess which was treated successfuly using antibiotics, immediate radical mastoidectomy and later stereotactic abscess drainage with a review of literatures. (Korean J Otolaryngol 2002 ;45 :1188-92)