Cerebrospinal fluid otorrhea and recurrent meningitis

Spitz, Eugene B.; Wagner, Seymour; Sataloff, Joseph; Hoffman, Nicholas P.; Hope, John W.

doi:10.1016/s0022-3476(61)80295-3

Cited by 18 publications

(5 citation statements)

References 8 publications

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“…4-16 Adult-onset spontaneous CSF otorrhea has been attributed to a herniation of brain tissue (encephalocele),4-ll.17-24 meninges (meningocele};" both meninges and brain (meningoencephalocele) /6.27 or a dural defect (fistula). 2, [28][29][30][31][32][33] Dural defects in the middle fossa associated with bony defects in the tegmen tympani are the usual location of these spinal fluid leaks, but similar herniations of tissue through dural defects of the posterior fossa mastoid plate have been recorded. 3o.…”

Section: Introductionmentioning

confidence: 99%

Arachnoid Granulation Cerebrospinal Fluid Otorrhea

Gacek

1990

Ann Otol Rhinol Laryngol

124

115

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A case report and review of the temporal bone (TB) collection in the Department of Otolaryngology at SUNY Health Science Center in Syracuse demonstrated the occurrence of arachnoid granulations (AGs) in the posterior fossa surface of the TB and their role in cerebrospinal fluid (CSF) otorrhea. A large AG responsible for CSF otorrhea in a 64-year-old man was excised with soft tissue repair of the dural defect. Sixteen of 188 TBs (8.5%) in the collection contained 24 AGs ranging in size from 0.07 to 80.65 mm3. Nine AGs (37%) were small (less than 1 mm3) and did not demonstrate enlargement. Twelve (50%) were of intermediate size (2.50 to 9.32 mm3), and three (13%) were large (49.82 to 80.65 mm3). The intermediate and large AGs were associated with bone erosion and a high incidence of communication with a pneumatized mastoid complex (serous otitis media or meningitis). These findings suggest that AGs of sufficient size to produce bone erosion are the primary responsible lesions in adult-onset spontaneous CSF otorrhea.

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Section: Introductionmentioning

confidence: 99%

Arachnoid Granulation Cerebrospinal Fluid Otorrhea

Gacek

1990

Ann Otol Rhinol Laryngol

124

115

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“…These various materials have all proved equally effective but, occasionally, the site of a CSF fistula may be very elusive whether approached by the neurosurgeon or otologist. This is well demonstrated by a case of Spitz et al (1961). The patient, a child, with a skull fracture and otorhinorrhoea had suffered 20 attacks of meningitis.…”

Section: Managementmentioning

confidence: 79%

Cerebrospinal fluid otorrhoea and otorhinorrhoea following closed head injury

Henry¹,

Taylor²

1978

J. Laryngol. Otol.

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“…46 der hierfür auswertbaren Patientendaten waren männlich (59,7%). In 62 Fällen fand sich ein Defekt im Bereich des ovalen Fensters oder unmittelbar hieran angrenzend, bei 7 Patienten am Fazialiskanal [6,38,43,47,78,135,136], in 2 Fällen am Tubenostium [129,132], in 2 Fällen im inneren Gehörgang [86,117] und bei einem Patienten an der Hyrtl-Fissur [140], ein weiterer seltener Fall wurde in der Arbeit von Gacek u. Leipzig lediglich erwähnt ( [38]; S. 362), blieb aber unveröffentlicht. Ein translabyrinthärer Defekt war in einem Fall mit einem synchronen Defekt am Fazialiskanal vergesellschaftet [47].…”

Section: Translabyrinthäre Und Labyrinthnahe Liquorfistelnunclassified

“…Die Berichte von Spitz, Freeland, Gunderson, Haugenauer, Quiney verdeutlichen die Schwierigkeiten, die sich bei der Lokalisation der Liquorfistel ergeben können, insbesondere bei zusätzlichen Defekten an der Frontobasis [34,45,49,117,129].Wie die Berichte von Biggers, Uri und Gray zeigen, kann aber auch eine Fazialisparese in sehr seltenen Fällen Leitsymptom einer spontanen Liquorfistel sein [11,43,136].…”

Section: Ursache Tegmentaler Fistelnunclassified

Spontane Defekte der seitlichen Schädelbasis Teil 2. Ätiologie und Literaturübersicht

Windfuhr

Sesterhenn

2002

HNO

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Copious otorrhea through a perforated tympanic membrane or following placement of a ventilation tube, conductive hearing loss or meningitis without impairment of cochlear or vestibular function should be regarded as warning signs for an existing SCFO in adults. Children usually present with symptoms of inner ear anomalies, meningitis and loss of cochlear-vestibular function. High-resolution computer tomography is the diagnostic procedure of choice. A follow-up of several years to disclose any recurrence of SCFO or occurrence at a different area should be considered in any patient.

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Cerebrospinal fluid otorrhea and recurrent meningitis

Cited by 18 publications

References 8 publications

Arachnoid Granulation Cerebrospinal Fluid Otorrhea

Arachnoid Granulation Cerebrospinal Fluid Otorrhea

Cerebrospinal fluid otorrhoea and otorhinorrhoea following closed head injury

Spontane Defekte der seitlichen Schädelbasis Teil 2. Ätiologie und Literaturübersicht

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