Suggest Treatment For Meningitis While Having Cholesteatoma
Brain involvement is less likely in a month but please get a CT scan done
Detailed Answer:
Hi,
Thanks for writing in to us.
I have read through your qquery in detail.
Please find my observations below.
1. I have many patients with cholestetoma regularly and they come to me to get evaluated for the risk of infection being transmitted from the middle ear to the brain.
2. After doing a CT scan of temporal bones, we get the exact information on the size of the cholesteatoma and if the infection has crossed to the brain. There is a bone separating the middle ear from the brain. When this bone is destroyeddue to cholesteatoma then early surgery is recommended to avoid meningitis and brain abscess.
3. In your case, if you do not have any brain symptoms then it is less likely that your cholestatoma is going to involve the brain until your surgery. It is however recommended that you get a CT scan temporal bone done and disucss it with your doctors.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
It is likely that you do not have risk of meningitis
Detailed Answer:
Hi,
Thanks for writing back with an update.
1. When a CT scan is done in cholesteatoma cases, we specifically look for any communication between the middle ear and the brin.
2. If there is no mention about such extension of the cholesteatoma to the brain in your CT scan then you do not have it.
3. It takes some time for the infection to reach the brain and it is likely that you do not have this problem. This is probably the reason why your doctors are not in a hurry to do the surgery.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,