RECURRENT MENINGITIS SECONDARY TO IDIOPATHIC OVAL WINDOW CSF LEAK

1976 ◽  
Vol 86 (10) ◽  
pp. 1503-1515 ◽  
Author(s):  
Simon C. Parisier ◽  
Eric A. Birken
Keyword(s):  
Oval Window ◽  
Csf Leak ◽  
Recurrent Meningitis

Oval window perilymph fistula in child with recurrent meningitis and unilateral hearing loss

2020 ◽  
Vol 13 (7) ◽  
pp. e234744
Author(s):  
Miane Min Yan Ng ◽  
Felice D'Arco ◽  
Raouf Chorbachi ◽  
Robert Nash
Keyword(s):  
Hearing Loss ◽  
Oval Window ◽  
Fat Grafting ◽  
Csf Leak ◽  
Unilateral Hearing Loss ◽  
Upper Respiratory Tract ◽  
Recurrent Meningitis ◽  
Newborn Hearing ◽  
Blind Sac Closure ◽  
The Right

A 2-year-old boy presented to Ears, Nose and Throat (ENT) surgeons with unilateral hearing loss. Following a prodrome of upper respiratory tract infection (URTI), he developed two episodes of pneumococcal meningitis in quick succession. This case demonstrates an unusual cause of perilymph fistula diagnosed on imaging and confirmed surgically. He had failed the Newborn Hearing Screening Programme and was therefore referred to audiology, who confirmed profound sensorineural hearing loss in the right ear. MRI showed incomplete partitioning (type 1) of the right cochlea, suggesting cerebrospinal fluid (CSF) leak from the region of the stapes. Exploratory tympanotomy confirmed this, and proceeded to CSF leak repair, obliteration of the Eustachian tube, subtotal petrosectomy, abdominal fat grafting and blind sac closure. Although middle ear effusions are common; particularly in children with recent URTI, the possibility of otogenic CSF leak needs to be considered, especially in cases of recurrent meningitis.

Recurrent meningitis in children due to inner ear abnormalities

1989 ◽  
Vol 103 (5) ◽  
pp. 473-480 ◽  
Author(s):  
R. E. Quiney ◽  
D. B. Mitchell ◽  
B. Djazeri ◽  
J. N. G. Evans
Keyword(s):  
Inner Ear ◽  
Hospital Admissions ◽  
Ct Scanning ◽  
Oval Window ◽  
Csf Leak ◽  
Recurrent Meningitis ◽  
Unilateral Deafness ◽  
Threatening Condition ◽  
Life Threatening ◽  
Meningitis In Children

AbstractRecurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma of repeated hospital admissions and multiple and invasive investigations to try and find an underlying cause. Symptoms and signs of CSF rhinorrhoea or otorrhoea are infrequent in these patients. Unilateral deafness may be difficult to diagnose in the young child. Full ENT examination may be normal.We report seven cases of children with recurrent meningitis in whom inner ear abnormalities were only indicated as the site of entry of infection by hypocycloidal tomography or high resolution CT scanning of the temporal bone. Subsequent tympanotomy confirmed the site of the CSF leak as the oval window in the majority of cases; packing the vestibule with muscle halted further attacks in these patients.

scholarly journals A Case of Petrous Apex Meningocele: Unusual Presentation of Cerebrospinal Fluid Leak Following Adenoidectomy

2020 ◽  
Vol 27 (2) ◽  
pp. 135-139
Author(s):  
Byung Kil Kim ◽  
Yujin Heo ◽  
Doo-Sik Kong ◽  
Sang Duk Hong
Keyword(s):  
Cerebrospinal Fluid ◽  
Bacterial Meningitis ◽  
Cerebrospinal Fluid Leak ◽  
Csf Leak ◽  
Petrous Apex ◽  
Diagnostic Process ◽  
Recurrent Meningitis ◽  
Csf Rhinorrhea ◽  
Leakage Site ◽  
Fluid Leak

Cerebrospinal fluid (CSF) leak is possible and can be a cause of recurrent bacterial meningitis. Petrous apex meningocele (PAM) is mostly asymptomatic and is often found during incidental imaging tests. We experienced a case of CSF rhinorrhea with recurrent meningitis in bilateral PAM after adenoidectomy. This report highlights the diagnostic process of CSF leak, identification of leakage site, and surgical approach to petrous apex lesions.

Severe cochlear dysplasia causing recurrent meningitis: a surgical lesson

1993 ◽  
Vol 107 (8) ◽  
pp. 726-729 ◽  
Author(s):  
D. S. Stevenson ◽  
D. W. Proops ◽  
P. D. Phelps
Keyword(s):  
Operative Management ◽  
Oval Window ◽  
Alternative Procedure ◽  
Prolonged Hospital Stay ◽  
Recurrent Meningitis ◽  
Gram Negative ◽  
Csf Rhinorrhoea ◽  
The Right ◽  
Prolonged Hospital

AbstarctMeningitis may be the sole presenting sign of a cerebrospinal fluid (CSF) fistula of the temporal bone. An eight-year-old boy suffering from recurrent meningits was found to hav ebilateral severe cochlear dysplasia. Bilateral tympanotomies were performed, planning to obliterate each vestibule. In the right ear a stapedectomy was oerfirned, resulting in terrntial ‘CSF gusher’ and difficulty in packing the vestibule. CSF rhinorrhoea requiring revision surgery and twon episodes of gram-negative bacterial meningtis complicated the post-operative management, resulting in a prolonged hospital stay. Subsequently, the left ear was managed in a different fasion, leaving the stapes in situ, with grafts placed to seal the oval window nche. We would recommended this alternative procedure in cases of severe cochlear dysplasia, where abnormalities of the vestibule and basal turn of the cochela mean that performing a stapeddectomy to pack the vestibule may result in a severe ‘CSF gusher’, by opening directly into the subarachnoid space.

The Giant Apical Air Cell Syndrome a New Entity

1982 ◽  
Vol 91 (3) ◽  
pp. 237-239 ◽  
Author(s):  
Eric M. Kraus ◽  
Brian F. McCabe
Keyword(s):  
Surgical Management ◽  
Eustachian Tube ◽  
Subarachnoid Space ◽  
Csf Leak ◽  
Petrous Apex ◽  
Detailed Knowledge ◽  
Recurrent Meningitis ◽  
Csf Rhinorrhea ◽  
The Brain ◽  
Contrast Studies

A new entity, the giant apical air cell syndrome, is presented and its surgical management is described. The syndrome triad consists of a giant apical air cell, spontaneous CSF rhinorrhea, and recurrent meningitis. Constant pounding of the brain against the dura overlying the giant air cell eventually causes dural rupture and CSF leak. The giant apical air cell communicates with the eustachian tube creating a direct route for CSF to leak from the subarachnoid space into the nasopharynx. The syndrome is best diagnosed by polytomography of the petrous apex, surgical exploration, and careful dissection using the operating microscope. Dye or contrast studies are no longer necessary. Extracranial surgical management is preferable to the intracranial approach. Tympanomastoidectomy is performed with obliteration of the eustachian tube, middle ear, and mastoid. In this manner, the subarachnoid space is separated from the nasopharynx, preventing further episodes of meningitis. A detailed knowledge of the regional anatomy and the application of basic surgical principles should enable the temporal bone surgeon to accurately diagnose and manage most CSF fistulae.

Cerebrospinal fluid leak with recurrent meningitis following tonsillectomy

2010 ◽  
Vol 5 (3) ◽  
pp. 302-305 ◽  
Author(s):  
Shawn L. Hervey-Jumper ◽  
Ahmer K. Ghori ◽  
Douglas J. Quint ◽  
Lawrence J. Marentette ◽  
Cormac O. Maher
Keyword(s):  
Cerebrospinal Fluid ◽  
Unusual Case ◽  
Posterior Pharyngeal Wall ◽  
Cerebrospinal Fluid Leak ◽  
Csf Leak ◽  
Petrous Apex ◽  
Recurrent Meningitis ◽  
Pharyngeal Wall ◽  
History Of ◽  
Fluid Leak

The authors report an unusual case of bilateral large petrous apex cephaloceles in a 14-year-old boy with a history of recurrent meningitis. Although these lesions are rare and usually asymptomatic, surgical correction is recommended if they are associated with a persistent CSF leak. In this patient, the extensive bilateral cranial defects were not adequately treated by an intracranial approach alone. Repair of a defect in the posterior pharyngeal wall, the site of a prior tonsillectomy, ultimately resulted in repair of the CSF fistula.

scholarly journals Congenital ear anomalies and idiopathic fistula of the oval window associated with recurrent meningitis.

1985 ◽  
Vol 78 (5) ◽  
pp. 651-660 ◽  
Author(s):  
Kiyotaka Murata ◽  
Hiroyuki Oiki ◽  
Michio Isono ◽  
Fumihiko Ohta
Keyword(s):  
Oval Window ◽  
Recurrent Meningitis ◽  
Ear Anomalies
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