Læknablaðið - 15.03.1992, Qupperneq 23

LÆKNABLAÐIÐ
97
kann að vera nauðsynleg ef um langvarandi
bólgu er að ræða.
Einungis einn sjúklingur greindist með
heilahimnubólgu af völdum langvinnrar
eymabólgu. Bólga í stikli og miðeyra hafði
valdið beineyðingu og opnað greiða leið að
heilahimnu.
Langvinnir eymasjúkdómar, svo og beináta
(cholesteatoma) valda á tíðum þynningu á
beini milli miðeyra og stikils annars vegar og
heilahimnu hins vegar. Sýkingar eiga þannig
hægara um vik að breiðast frá miðeyranu til
miðtaugakerfis (8,14,15).
Að framan hafa verið ræddir ýmsir alvarlegir
fylgikvillar við miðeyma- og skútabólgu,
sjúkdóma sem eru mjög algengir á íslandi
og víðar á Vesturlöndum. Sýklalyfjagjöf kann
að gefa falska öryggiskennd, en alvarlegir
fylgikvillar geta engu að síður verið á næsta
leiti, með hastarlegum afleiðingum. Þessir
fylgikvillar eru sjaldséðir en full ástæða er
til að minna aftur á tilveru þeirra.
SUMMARY
Otitis media and sinusitis are common diseases.
Between 1981 and 1990 eight patients were treated
at Borgarspítalinn for serious central nervous
system complications from infections of the middle
ear and sinuses. Twelve complications were found
in these 8 patients. Cerebral abscess was the most
common and serious complication and caused death
in one patient. With the advent of broad-spectrum
antibiotics the clinical course of middle ear disease
and sinusitis has been altered. The clinician may
be falsely assured that administration of antibiotics
will result in complete resolution of these diseases
while unsuspected complications can go undetected.
ÞAKKIR
Kristín Snorradóttir læknafulltrúi á háls-,
nef- og eymadeild Borgarspítalans sá um
ritvinnslu. Eru henni færðar bestu þakkir.
HEIMILDIR
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