Delayed Meningitis Following Stapes Surgery

Snyder, Bruce D.; Boies, Lawrence R.; Ulvestad, Rolf F.; McGuiness, Phillip A.

doi:10.1001/archneur.1979.00500390092013

Cited by 11 publications

(1 citation statement)

References 5 publications

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“…A rent in the oval or round window constitutes a potential pathway for flora of the middle ear to invade the subarachnoid space putatively, by way of the cochlear aqueduct. Snyder et al [38] reported delayed meningitis in perilymph fistulas developing years after stapedectomy. In 1984, we [39] encountered a patient who complained of oscillopsia precipitated by the sound of a telephone ring (Tullio phenomenon), and additionally provoked by pressure applied to the external auditory canal (Hennebert's sign).…”

Section: Congenital Perilymph Fistulamentioning

confidence: 99%

Perilymphatic fistula

Maitland

2001

Curr Neurol Neurosci Rep

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A perilymph fistula is an abnormal connection between the inner and middle ear that allows escape of perilymph fluid into the middle ear compartment. The clinical symptomatology that follows leakage of fluid is by and large indistinguishable from a number of other pathologies that affect inner ear function. Definite diagnostic proof of a perilymph fistula remains elusive, and methods of diagnosis remain controversial. Traumatic tears in the oval or round windows remain a major cause of perilymph fistula, yet an index of suspicion in traumatic brain injury frequently remains low. The diagnosis of perilymph fistula must always be considered in the appropriate clinical setting of head trauma, barotrauma, and in patients with unresolved and undiagnosed episodes of recurrent vertigo or hearing loss. Surgical treatment with patching of oval and round windows remains the mainstay of therapy for this condition.

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Section: Congenital Perilymph Fistulamentioning

confidence: 99%

Perilymphatic fistula

Maitland

2001

Curr Neurol Neurosci Rep

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Cervical spinal cord compression in hereditary multiple exostoses

Mikawa

Watanabe

Nakashima

et al. 1997

Arch Orthop Trauma Surg

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Spinal cord compression is an extremely serious complication of hereditary multiple exostoses (HME). A case of HME with compression of the cervical spinal cord is reported. Complete recovery following surgery was achieved. A review of the relevant literature revealed 51 previous cases of HME with cord/cauda equina compression. Most patients were under 30 years of age with more men affected than women. The family history was positive in 60%. The cervical and thoracic areas were predominantly affected, with the symptoms usually developing slowly. Recovery following surgery is to be expected in the majority of cases. In patients with HME and suffering from neurological symptoms, the possibility of spinal cord compression should be considered. Prompt diagnosis and surgical excision provide the best prognosis.

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Inflammatory Diseases of the Temporal Bone

Swartz¹,

Hagiwara²

2011

Head and Neck Imaging

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Delayed Meningitis Following Stapes Surgery

Cited by 11 publications

References 5 publications

Perilymphatic fistula

Perilymphatic fistula

Cervical spinal cord compression in hereditary multiple exostoses

Inflammatory Diseases of the Temporal Bone

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