PMID: 3771105Sep 1, 1986Paper

Recurrent meningitis due to spontaneous cerebrospinal fluid otorrhea. A case report

International Journal of Pediatric Otorhinolaryngology
S KomuneT Morimitsu

Abstract

Bilateral congenital deafness was observed in a 9-year-old girl with recurrent meningitis. A careful workup, including polytomograph, CT scanning and Radioisotope (RI)-cisternography revealed an inner ear dysplasia of the Mondini type, viz. dilation of the lateral semicircular canal, vestibule and cystic degeneration of cochlea on both ears. RI-cisternography demonstrated an abnormal accumulation of radioisotope in the left mastoid region, suggesting spontaneous cerebrospinal fluid (CSF) otorrhea. At exploratory tympanotomy of the left ear, the CSF leak was found from a round defect in the center of the stapedial foot plate. The CSF leak was treated successfully by packing the vestibule with temporal fascia. Spontaneous CSF otorrhea is seldom the cause of meningitis but has to be considered especially if associated with a dead ear and with recurrent meningitis. The diagnosis and management are discussed.

References

Aug 1, 1979·Archives of Otolaryngology·B Wolfowitz
Mar 1, 1978·Archives of Otolaryngology·J L ClarkG W Facer
Oct 1, 1976·The Laryngoscope·S C Parisier, E A Birken
Oct 1, 1967·The Journal of Pediatrics·S StoolK Shulman

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Citations

Sep 1, 2000·International Journal of Pediatric Otorhinolaryngology·V RupaD J Weider
May 1, 1993·International Journal of Pediatric Otorhinolaryngology·P ClarósP Wienberg
Nov 30, 2013·Case Reports in Otolaryngology·Oliver RoseChristopher Low
Dec 15, 2010·International Journal of Pediatric Otorhinolaryngology·Anquan PengWeijing Wu
Dec 18, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Vedantam RupaVedantam Rajshekhar
Jun 6, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Emilie BoisThierry Van Den Abbeele

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