Eosinophilic granuloma of the temporal bone

Straka, John A.; Caparosa, Ralph J.

doi:10.1002/lary.5540820106

Cited by 13 publications

(2 citation statements)

References 8 publications

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“…Global Journal of Otolaryngology include nuclei that appear deeply indented and elongated on light microscopy, cytoplasm that is pale and abundant, Birbeck granules on electron microscopy, expression of CD1 on the cell surface, and positive immunostaining for S100 protein and for the langerin protein [11][12][13][14][15].…”

Section: Diagnostic Characteristics Of the Pathologic Langerhans Cellsmentioning

confidence: 99%

Eosinophilic Granuloma of the Skull Treated as a Recurent Syndrom Meniere

Laza¹

2018

GJO

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A 24-year-young female presented in our Clinic with a history of vertigo diagnosed and treated in neurology department as a Meniere disease with frequent recurrences since almost 3 years, progressive hearing loss in the left ear. It starts insidious but became gradually progressive. She describe also a continue dizziness, not an attack like in Meniere and also notice a progressive deafness and tinnitus more recent .From the last year she start to accuse headache ,and vomiting with release of the pain . There was no history of previous ear infection or trauma. Past medical history of the patient did not reveal any significant disease and the family history was unremarkable. There was no family history of bone diseases, skin disorders, genetic abnormalities, or endocrinopathies. She was treated in a few cases in the hospital with pev containing vasodilators and vitamins like B1,B6 ,B12 ,and steroids., In rest she take po when Arlevert-Cinnarizine when Betaserc-berahistine and My gamma N -vit B complex with no results . On physical examination, she was in a good general status, there was no mastoid tenderness, and face was symmetric. Left-sided otoscopy showed mild retraction of pars tensa. Tuning fork tests-revealed an important deafness on the left ear. Vestibular examination with Romberg test, Untenberger, Babinski, coordination test like nose-index, also was positive for a lesion of the left labyrinth. Nistagmus was positive, horizontal rotatory, the remainder of the head and neck examination was totally normal [1][2][3][4][5]. Laboratory Test -were Normal AudiometryPure Tone Audiometry: Demonstrated a moderately severe mixed hearing loss with a pure tone air conduction average of 95 dB hearing level (masked) and a 50 dB air-bone gap on his left ear.Immitance audiometry: Type B -line-, stampeding reflex absent. Figure 1: MRI-axial view -the cavities of inner, middle ear, mastoid process and temporal bone are filled by a solid mass with extension in the posterior cranial fossa.

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Section: Diagnostic Characteristics Of the Pathologic Langerhans Cellsmentioning

confidence: 99%

Eosinophilic Granuloma of the Skull Treated as a Recurent Syndrom Meniere

Laza¹

2018

GJO

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“…An isolated lytic lesion of the temporal bone with an intact and undiseased tympanic membrane is usually suggestive of a primary or congenital cholesteatoma (Brunnere/a/., 1966). Less common conditions such as neoplastic growth or eosinophilic granuloma should also be kept in mind (Cawthorne and Griffith, 1961;Strake and Caprosa, 1972). Herzon and Antoine (1976) coined the term 'mega antrum' for an unusually large mastoid antrum which can present as a lytic lesion in the temporal bone.…”

Section: Mega Antrummentioning

confidence: 99%

Unusually large mastoid antrum (‘mega antrum’)

Puranik¹,

Murthy²,

Gopalakrishna³

et al. 1992

J. Laryngol. Otol.

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Patients who present with a unilateral non-tender bony swelling in the mastoid region without any clinical evidence of middle ear infection could be diagnosed as having a fibrous or bony lesion affecting the temporal bone. In such cases, if there is radiological evidence of large lucent area in the mastoid antrum without any bony dehiscence one should keep in mind in the differential diagnosis a mega antrum in addition to congenital cholesteatoma and eosinophilic granuloma. A large lytic lesion in the mastoid segment of the temporal bone with an intact tympanic membrane therefore presents a diagnostic dilemma. A case of an unusually large mastoid antrum in an young adult with no middle ear suppuration and a cosmetically unacceptable swelling behind the ear is presented.

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