慢性化脓性中耳炎伴蛛网膜下腔出血病例分析

Chronic suppurative otitis media induced subarachnoid hemorrhage:case analysis

1病例资料 患者,女,45岁。因低热伴头晕1周,加重1d,左耳流脓1d入院。患者1周前无明显诱因出现发热,T 37.5℃,觉头晕,无明显头痛,无恶心、呕吐、耳痛及耳鸣。在当地医院门诊输液（阿莫西林）6d,头晕无明显好转,发热停止。

Summary We present a case of subarachnoid hemorrhage induced by chronic suppurative otitis media, and discuss the possible mechanism here. Chronic suppurative otitis media is a common suppurative inflammation of middle ear, which can cause sorts of extracranial and intracranial complications in the situation of lower resistance or higher virulence. However, the condition of subarachnoid heamorrhage casued by chronic suppurative odds media is quite rare. According to this ease and previously published articles, we consider that meningitis may he the main reason of subarachnoid hemorrhage induced by chronic suppurative otitis media.