Martínez-Montemayor DC, Paz-Delgadillo DE, Villegas-González M, Treviño-González JL, Santos-Lartigue R

Language: Spanish
References: 10
Page: 169-172
PDF size: 267.71 Kb.

ABSTRACT

Inner ear malformations are a rare cause of cerebrospinal fluid leakages associated to otorhinorrhea. Ranging in its presentation from asymptomatic to recurrent bacterial meningitis. We described a 12-year old boy who presented with CSF rinorrhea and recurrent bacterial meningitis. A high resolution computed tomographic scan of temporal bones was performed, in which an inner ear malformation was diagnosed (an incomplete partition Mondini type I) associated with cerebrospinal fluid leakage. Surgical closure of the leakage was performed successfully. Conclusion: recurrent episodes of meningitis in children, should be investigated for inner ear malformations. Awareness of this condition, a high index of suspicion and imaging studies can prevent the complications and sequels of meningitis and have an excellent outcome in these children.

REFERENCES

1. Cummings Otolaryngology: Head and Neck Surgery. Paul W. Flint. 5th Edition. Chapter 191 Congenital Malformations of the inner ear.

2. Phelps PD, Proops D, Sellars S, et al. Congenital cerebrospinal fluid fistula through the inner ear and meningitis. J Laryngol Otol 1993; 107:492

3. Barcz DV, Wood 2nd RP, Stears J, et al. Subarachnoid space: middle ear pathways and recurrent meningitis. Am J Otol 1985; 6:157

4. Drummond DS, de Jong AL, Giannoni C, et al. Recurrent meningitis in the pediatric patient-the otolaryngologist’s role. Int J Pediatr Otorhinolaryngol 1999; 48:199

5. Ben-Shoshan M, DeRowe A, Grisaru-Soen G, Ben-Sira L, Miller L. Recurrent meningitis and cerebrospinal fluid leak–two sides of the same vestibulocochlear defect: report of three cases. Eur J Pediatr 2007;166:269-72.

6. Park TS, Hoffman HJ, Humphreys RP, et al. Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia. Neurosurgery 1982; 11:356.

7. Stevenson DS, Proops DW, Phelps PD. Severe cochlear dysplasia causing recurrent meningitis: a surgical lesson. J Laryngol Otol 1993; 107:726.

8. Tullu MS, Khanna SS, Kamat JR, Kirtane MV. Mondini dysplasia and pyogenic meningitis. Indian J Pediatr 2004;71:655-7.

9. Yi H, Dongzhao L, Guo W. The diagnosis and surgical treatment of occult otogenic CSF leakage. Acta Oto-Laryngol 2013; 133: 130-13.

10. T. Sung, H. Hoffman, R. Humphreys. Spontaneous CSF Otorrhea in Association with a Congenital Defect of the Cochlear Aqueduct and Mondini Dysplasia. Neurosurgery 1982;(11):3.