الملخص الإنجليزي
A 67-year-old diabetic male patient presented to the Accident & Emergency Department of the Armed Forces Hospital, Muscat,
Oman, in 2016 with a headache, low-grade intermittent
fever and progressive confusion with decreased
sensorium of two weeks' duration. The patient had
a past history of malignant otitis externa along with
right-sided mastoiditis for which he had undergone
a cortical mastoidectomy and debridement seven
months previously. He had subsequently developed
right-sided facial palsy immediately after the surgery.
The patient also disclosed a recent history of admission
to a local secondary hospital, at which time a computed
tomography (CT) scan of the brain was reportedly
unremarkable. An unsuccessful lumbar puncture was
attempted and, shortly afterwards, the patient had left
the previous hospital against medical advice at the
behest of his relatives and sought admission to the
Armed Forces Hospital. Unfortunately, no detailed
documentation, prior medical reports or imaging scans
were available since the patient had been discharged
without following the proper referral procedures.
