Differential diagnosis of complications of pediatric mastoiditis

Approach to the differential diagnosis of complications of mastoididits:

  • Mastoiditis is the most common complication of acute otitis media
  • In patients with clinical evidence of advanced acute mastoiditis, consideration should be given to imaging:
    The neck for evidence of coalescent mastoiditis and Bezold abscess
    The brain for evidence of meningitis, intracranial abscess, subdural / epidural empyema
    The deep venous system for evidence of dural venous sinus thrombosis