Leptomeningitis Otogenic

Otogenic leptomeningitis is an inflammation of the soft meninges (meningitis) caused by the spread of infection from the middle ear or mastoid process of the brain.

Main reasons for development:

1. Acute or chronic purulent otitis media, mastoiditis. The infection spreads through the bony walls of the middle ear cavities directly into the cranial cavity.

2. Trauma to the middle ear or surgical interventions on it.

3. Congenital malformations of the auditory canal.

The causative agents in most cases are pneumococci, streptococci, staphylococci, and hemophilus influenzae.

Clinical manifestations:

1. Increased body temperature

2. Headache

3. Vomit

4. Stiff neck

5. Signs of meningeal irritation

6. Focal neurological symptoms (paresis, paralysis)

Diagnosis is based on analysis of cerebrospinal fluid, CT/MRI of the brain.

Treatment includes antibacterial, dehydration, and anti-inflammatory therapy. Surgical intervention on the middle ear for the primary purulent focus is mandatory.

The prognosis depends on the timeliness and adequacy of therapy. With late diagnosis and improper treatment, severe complications, including death, are possible.

Leptomeningitis is an acute infectious disease that is characterized by an inflammatory process of the meninges, in particular the arachnoid and soft meningeal tissues of the brain or spinal cord. The disease can occur when the meninges are damaged (loss or defect), during acute purulent inflammation of the mastoid process. The same development occurs with abnormal diseases of the tympanic cavity. In adults, the disease is much more severe.

Leptomeningitis: - Localization of the process. It develops in the area of ​​the body of the sphenoid bone in the membranes of the spinal cord and brain. According to