PMID: 7133352Sep 1, 1982Paper

Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia

Neurosurgery
T S ParkS H Chuang

Abstract

Unrecognized spontaneous cerebrospinal fluid (CSF) otorrhea led to recurrent bacterial meningitis in three children. The underlying cause of the spontaneous CSF otorrhea was proved to be a congenital cystic dilatation of the cochlear aqueduct and Mondini dysplasia of the temporal bone. The CSF leak recurred in all patients after an initial surgical attempts to close the defects through a tympanotomy. A suboccipital approach was used successfully to obliterate the CSF fistulas in two children; a translabyrinthine approach was used in the other. A search of the literature revealed that Mondini dysplasia is a congenital anomaly that can commonly cause spontaneous CSF otorrhea in children. The authors discuss the management of this uncommon entity on the basis of a literature review and their own experience.

Citations

May 25, 2005·International Journal of Pediatric Otorhinolaryngology·Rajan SyalAmit Goyal
Nov 16, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Bo Gyung KimJae Young Choi
Jul 23, 2013·American Journal of Otolaryngology·Sunil ManjilaCliff A Megerian
Nov 26, 2011·Otolaryngologic Clinics of North America·Andrew J Fishman
Jun 2, 2004·Pediatric Blood & Cancer·Katsuhiko KitazawaShinsaku Imashuku
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Jul 24, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Nick HernandezJames K Liu
Oct 30, 2012·Acta Oto-laryngologica·H J YiS M Yang
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Jul 1, 1993·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R K Jackler, P H Hwang
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
Apr 10, 2021·The Annals of Otology, Rhinology, and Laryngology·Benjamin D LovinAlex D Sweeney

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