{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:02:37Z","timestamp":1789171357010,"version":"build-2803163510"},"reference-count":74,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Chronic otitis with cholesteatoma is a potentially dangerous disease that can lead to the development of intracranial abscesses. Although cerebellar abscess is half as common as cerebral abscess, it is known for its particularly difficult diagnosis, which requires the visualization of the pathological process continuity from the mastoid to the posterior fossa. In this article, we present an extremely rare case from the literature of cholesteatomatous otomastoiditis complicated with meningitis and cerebellar abscess, along with the description of technical surgical details for the plugging of the bony defect between the mastoid and posterior fossa with muscle and surgical glue. The particularity of this case lies in the late presentation to the doctor of an immunocompetent patient, through a dramatic symptomatology of life-threatening complications. We emphasize the importance of responsibly treating any episode of middle ear infection and considering the existence of underlying pathologies. In such cases, we recommend additional neuroimaging explorations, which can prevent potentially lethal complications. The treatment of such intracranial complications must be carried out promptly and requires collaboration between a neurosurgeon and an ENT surgeon.<\/jats:p>","DOI":"10.3390\/diagnostics13233566","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T09:00:18Z","timestamp":1701248418000},"page":"3566","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cerebellar Abscess Secondary to Cholesteatomatous Otomastoiditis\u2014An Old Enemy in New Times"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1441-1751","authenticated-orcid":false,"given":"Andrei Ionut","family":"Cucu","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Biological Sciences, University Stefan cel Mare of Suceava, 720229 Suceava, Romania"},{"name":"Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raluca Elena","family":"Patrascu","sequence":"additional","affiliation":[{"name":"National Institute for Infectious Diseases Prof. Dr. Matei Bals, 021105 Bucharest, Romania"},{"name":"Infectious Diseases Department, Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Cosman","sequence":"additional","affiliation":[{"name":"Emergency County Hospital Braila, 810303 Braila, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Florida","family":"Costea","sequence":"additional","affiliation":[{"name":"Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Ia\u0219i, Romania"},{"name":"Department of Ophthalmology, University of Medicine and Pharmacy Grigore T. Popa Ia\u0219i, 700115 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Vonica","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University of Medicine and Pharmacy Grigore T. Popa Ia\u0219i, 700115 Ia\u0219i, Romania"},{"name":"Sf. Spiridon County Clinical Emergency Hospital Ia\u0219i, 700111 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurentiu Andrei","family":"Blaj","sequence":"additional","affiliation":[{"name":"Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Ia\u0219i, Romania"},{"name":"Department of Neurosurgery, University of Medicine and Pharmacy Grigore T. Popa Ia\u0219i, 700115 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad","family":"Hartie","sequence":"additional","affiliation":[{"name":"Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Ia\u0219i, Romania"},{"name":"Department of Anesthesia and Intensive Care, Grigore T. Popa University of Medicine and Pharmacy Ia\u0219i, 700115 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Cristina","family":"Istrate","sequence":"additional","affiliation":[{"name":"Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulian","family":"Prutianu","sequence":"additional","affiliation":[{"name":"Department of Morpho-Functional Sciences I\u2014Histology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy Ia\u0219i, 700115 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Otilia","family":"Boisteanu","sequence":"additional","affiliation":[{"name":"Sf. Spiridon County Clinical Emergency Hospital Ia\u0219i, 700111 Ia\u0219i, Romania"},{"name":"Department of Anesthesia and Intensive Care, Grigore T. Popa University of Medicine and Pharmacy Ia\u0219i, 700115 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0646-985X","authenticated-orcid":false,"given":"Emilia","family":"Patrascanu","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Grigore T. Popa University of Medicine and Pharmacy Ia\u0219i, 700115 Ia\u0219i, Romania"},{"name":"Regional Institute of Oncology, 700483 Ia\u0219i, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6505-1699","authenticated-orcid":false,"given":"Adriana","family":"Hristea","sequence":"additional","affiliation":[{"name":"National Institute for Infectious Diseases Prof. Dr. Matei Bals, 021105 Bucharest, Romania"},{"name":"Infectious Diseases Department, Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijporl.2005.08.021","article-title":"Chronic Suppurative Otitis Media: A Review","volume":"70","author":"Verhoeff","year":"2006","journal-title":"Int. J. Pediatr. 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