Question
All are seen due to complication of Otitis Media except:
| A. |
Delta Sign |
| B. | Griesinger Sign |
| C. |
Battle Sign |
| D. | Bezold’s Sign |
|
Correct Answer � C Explanation |
 |
Answer .c Battle Sign
Chronic suppurative otitis media is a disease that can end up in complications when treatment is delayed.
-
The IC complications are brain abscess i.e. temporal lobe abscess, pyogenic meningitis, lateral sinus thrombophlebitis and extradural abscess.
-
EC complications are mastoid abscess, Bezold’s abscess, zygomatic abscess and labyrinthitis.
-
Most common complication following CSOM – MASTOIDITIS
-
Most common extracranial / intratemporal complication following CSOM –mastoiditis
-
Most common intracranial complication following CSOM – brain abscess.
Intracranial complications:
Bezold’s abscess:
-
Follows acute coalescent mastoiditis
-
Pus breaks through the medial side of the mastoid tip and present as neck swelling
It may lie
-
Deep to sternocleidomastoid
-
May reach parapharyngeal space
-
Track along the carotid into mediastinum
-
There will be history of purulent otorrhoea followed by pain and fever
O/E: Torticollis, tender swelling in the neck.
Griesinger sign:
-
It is a clinical feature seen in Lateral sign thrombosis.
-
Griesinger’s sign: edema over posterior part of mastoid due to thrombosis of mastoid Emissary vein .
Delta sign:
-
Seen in Contrast enhanced MRI (Investigation for lateral sign thrombosis, CONFIRMATORY TEST)
