Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis
نویسندگان
چکیده
INTRODUCTION Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). Various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which the surgeon can't be sure on the management approach before the beginning of surgery. CASE REPORT In this article we present one of these cases; we used intrathecal fluorescein to locate the source of the leak and made the final decision on the operating table. CONCLUSION Intrathecal fluorescein is helpful in locating the leakage in the ear or the nose in ambiguous cases.
منابع مشابه
Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis
Introduction: Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). Various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which ...
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Mondini dysplasia is a congenital malformation of the inner ear, which is characterized by a short and large cochlear canal of 1.5 turn rather than 2.5 turns and an apical region with cystic dilatation. Patients present with congenital deafness, when both cochlea are affected. Unilateral disease may cause recurrent meningitis, otorrhea or rhinorrhea. In this article, we report a three-year-old ...
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We describe spontaneous cerebrospinal fluid (CSF) otorrhea through a patent tympanomeningeal (Hyrtl) fissure presenting as recurrent serous otitis media. The CSF leak was observed when a drain was placed through the tympanic membrane by an otologist. The diagnosis was then confirmed by computed tomography and magnetic resonance imaging, and the patient underwent a successful surgical treatment ...
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Spontaneous cerebrospinal fluid (CSF) fistula in congenital malformations of the inner ear is rare, and it is found most commonly in infants and children with impaired hearing. Spontaneous CSF otorrhea in adults is often due to defects in the tegmen and the bone overlying the posterior fossa in an otherwise normal ear. In the literature, there are few reports of adultonset spontaneous CSF otorr...
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OBJECTIVE To discuss the first reported case of spontaneous cerebrospinal fluid (CSF) otorrhea caused by a massive CSF-containing porencephalic cyst. STUDY DESIGN A case report and review of the literature (MEDLINE 1962-2005). SETTING A tertiary neurotologic referral center. PATIENT A 65-year-old woman with congenital hemiplegia presented with left-sided spontaneous CSF otorrhea of 4-mont...
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