Neurological Complications of Acute and Chronic Otitis Media

  • Michael J. HutzEmail author
  • Dennis M. Moore
  • Andrew J. Hotaling
Neurology of Systemic Diseases (J Biller, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Neurology of Systemic Disease


Purpose of Review

The aim of this study is to discuss the symptoms, diagnosis, and management of the neurologic complications of acute and chronic otitis media.

Recent Findings

Antibiotic therapy has greatly reduced the frequency of complications of otitis media. However, it is of vital importance to remain aware of the possible development of neurologic complications. There is a trend toward less severe presenting symptoms including otorrhea, headache, nausea, and fever, with altered mental status and focal neurologic deficits presenting later. In order to reduce morbidity, early deployment of a multidisciplinary approach with prompt imaging and laboratory studies is imperative to guide appropriate management.


Complications of acute and chronic otitis media may present with neurologic signs and symptoms. It is important to recognize the possible otitic origin of such complications to ensure proper management and to decrease overall morbidity and mortality


Acute otitis media Chronic otitis media Neurologic complications 


Compliance with Ethical Standards

Conflict of Interest

Michael J. Hutz, Dennis M. Moore, and Andrew J. Hotaling declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Michael J. Hutz
    • 1
    Email author
  • Dennis M. Moore
    • 1
    • 2
  • Andrew J. Hotaling
    • 1
  1. 1.Department of Otolaryngology – Head and Neck SurgeryLoyola University Medical CenterMaywoodUSA
  2. 2.Division of Otolaryngology – Head and Neck SurgeryHines VA Medical CenterHinesUSA

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