[Neuro-otological complications of middle ear infections; the importance of early diagnosis].

OBJECTIVE

Determination of characteristic signs for the early diagnosis of neuro-otological complications of otitis media.

DESIGN

Retrospective.

SETTING

University Hospital Groningen, the Netherlands.

METHOD: The medical histories of 11 patients with neuro-otological complications of otitis media were analysed. The time interval between the first manifestation of symptoms related to the complication and the start of correct therapy was established.

RESULTS

In 10 of the 11 patients persistent fever and (or) headache were manifest as early symptoms. More severe morbidity was correlated with an increased time interval between the early symptoms and the start of treatment. Doctor's delay was regarded as the most significant delaying factor.

CONCLUSION

Early diagnosis of neuro-otological complications of otitis media based on the early symptoms persistent fever and headache can reduce morbidity and mortality.