Disease Sign and Symptom Diagnosis Therapy

Extradural  Persistent Made by contrast  Cortical or

Abscess headache on the enhanced CT or MRI modified radical or
: Collection of side of otitis media radical
pus between  Severe pain in the mastoidectomy
bone and dura. ear  Antibiotic for
 Pulsatile purulent minimum 5 days.
ear discharge
 Dissappearance of
headache with free
flow of pus from
the ear
Subdural  Meningeal Made by contrast  Craniotomy – to
Abscess irritation – enhanced CT or MRI drain pus
: Collection of headache, fever,  Intravenous
pus between drowsiness, neck antibiotic –
dura and rigidity. Penicillin
arachnoid.  Raised intracranial  Masteidectomy of
pressure – the affected ear
papilloedema,
ptosis and dilated
pupil.
Meningitis  Headache  Brudzinski  Antimicrobial
: inflammation  Neck Rigidity Examination therapy
of  Raised  Kernig  Corticosteroids
leptomeninges temperature with examination  Surgical –
(pia and chills  CT scan and myringotomy or
arachnoid)  Photophobia and MRI masteidectomy
mental irritability  Lumbar
 Nausea and Puncture
vomiting  CSF
 Drowsiness examination
 Cranial nerve
palsies and
hemiplegia