A Severe Intracranial and Extracranial Complications of The Middle Ear Cholesteatoma (A Report Case)

Otological intracranial and extracranial complications are still a major problem and a life-threatening complication of otitis media mainly cholesteatoma. We present a case of a 40-year-old man, who presented mastoiditis with large subperiosteal abscess, repeated headache and acutely altered mental status, caused by subdural abscess. CT scan was done first to confirm the diagnosis, secondly to monitor the evolution. The intracranial collection was drained and the cholesteatoma was removed by mastoidectomy. The patient was still free of symptoms after 12 months. The clinical characteristics and treatment of this disease remain controversial; this case report highlights the epidemiological, clinical and radiological aspects of intracranial and extracranial complications of the middle ear cholesteatoma.