Recurrent Bacterial Meningitis in a Child With Mondini Dysplasia

Liu, Fang-Ching; Chen, Po‐Yen; Huang, Fang‐Liang; Lee, Chun-Yi; Lin, Chih-Hung

doi:10.1177/0009922808324495

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Tomografi komputer dari tulang temporal adalah metode terbaik untuk diagnosis displasia Mondini . 2,3 Displasia Mondini adalah malformasi koklea yang berhubungan dengan vestibular aqueduct yang besar dan dilatasi ampula kanalis semisirkularis. Hal ini merupakan anomali koklea yang paling sering ditemukan.…”

Section: Pendahuluanunclassified

“…Kebocoran cairan serebrospinal dapat terjadi karena trauma tengkorak atau malformasi tulang temporal. 2,3 Laporan kasus ini bertujuan untuk mempresentasikan gambaran klinis dan diagnosis dari displasia Mondini dengan disertai hipertrofi adenoid, yang merupakan predisposisi terjadinya meningitis berulang.…”

Section: Pendahuluanunclassified

“…Implantasi koklea juga telah terbukti berguna untuk pemulihan pendengaran. 2,3,10 Diagnosis pada kasus ini ditegakkan melalui anamnesis, pemeriksaan fisik, pemeriksaan laboratorium serta tomografi komputer. Pada kasus ini, seorang anak laki-laki berusia 6 tahun dengan masalah meningitis, serta otitis media akut berulang, tanpa didapatkan adanya keluhan gangguan pendengaran.…”

Section: Diskusiunclassified

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Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

Arifianto¹,

Lasminingrum²,

Aroeman³

et al. 2015

Oto Rhino Laryn Indones

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Latar belakang: Displasia Mondini adalah kasus yang jarang ditemukan namun merupakan penyebab penting terjadinya meningitis berulang pada anak dan membutuhkan indeks kecurigaan klinisyang tinggi sehingga dapat dilakukan diagnosis sedini mungkin. Displasia Mondini adalah kelainankongenital berupa malformasi koklea yang terjadi akibat dari gangguan perkembangan embrio pada telingabagian dalam, di minggu ke tujuh. Anomali kongenital tulang temporal dapat menyebabkan fistulisasiantara telinga tengah dan ruang subarakhnoid. Tujuan: Mempresentasikan kasus displasia Mondini dengan komplikasi meningitis berulang. Kasus: Satu kasus displasia Mondini disertai hipertrofi adenoiddan meningitis berulang pada anak laki-laki usia enam tahun. Penatalaksanaan: Medikamentosa denganpemberian antibiotik dan adenoidektomi. Kesimpulan: Displasia Mondini dengan faktor predisposisihipertrofi adenoid disertai meningitis berulang yang dilakukan adenoidektomi memberikan hasil yangbaik dengan tidak didapatkan kembali meningitis berulang pada pasien setelah tiga tahun. Kata kunci : displasia Mondini, hipertrofi adenoid, adenoidektomi, meningitis berulang ABSTRACTBackground: Mondini dysplasia is a rare case but has an important role for recurrent pyogenic meningitis in children and requires a high index of clinical suspicion for early diagnosis. Mondinidysplasia is malformation of the cochlea due to impairment of the embryonic development of the innerear during the seventh week of fetal life. Congenital anomalies of temporal bone may cause fistulisation between the middle ear and subarachnoid space. Purpose: To present a case of Mondini dysplasia with recurrent meningitis complication. Case: A case of Mondini dysplasia accompanied by hypertrophyadenoid and recurrent meningitis in a six year old boy. Management: Medical treatment with antibioticand adenoidectomy. Conclusion: Adenoidectomy for management of Mondini dysplasia with recurrentmeningitis accompanied by adenoid hypertrophy, gave a good result with no recurrent meningitis afterthree years. Key words: Mondini dysplasia, adenoid hypertrophy, adenoidectomy, recurrent meningitis

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Section: Pendahuluanunclassified

Section: Diskusiunclassified

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Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

Arifianto¹,

Lasminingrum²,

Aroeman³

et al. 2015

Oto Rhino Laryn Indones

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Life-threatening unilateral hearing impairments. Review of the literature on the association between inner ear malformations and meningitis

Muzzi

Battelino

Gregori

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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Surgical Treatment for Cerebrospinal Fluid Leaks in Patients With Inner Ear Malformations

Bois¹,

Demondion²,

Elmaleh

et al. 2020

Otology &Amp; Neurotology

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Objective: The aim of this study is to present our technique of surgical closure in a series of patients suffering from cerebrospinal fluid (CSF) leak due to inner ear malformations. Study Design and Setting: We conducted a retrospective study in our tertiary care academic department of pediatric otolaryngology. Patients: We did include all patients who presented a CSF leak or bacterial meningitis (one episode or recurrent) related to a malformation of the inner ear. Intervention(s): Through a retro-auricular or endaural approach we performed a filling of the vestibule cavity with multiple fragments of cartilage with perichondrium introduced through the oval window, after stapedectomy until a near-complete sealing was obtained. After the surgery, all patients received a treatment with acetazolamide during 15 days. Main Outcome Measure(s): We did evaluate our technics with the recurrence of CSF leak. Results: Thirteen patients, from 1 to 14, were operated with our technics. With a follow-up of 4.4 ± 4.7 years, only one patient needed a second intervention. None had a novel episode of meningitis. We observed no complication. The leak was observed in the oval fossa in 11 cases. Conclusions: Our “minimally invasive” technique of vestibular obliteration with cartilage inserted through the oval window after stapedectomy did demonstrate its safety and reliability.

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Recurrent Bacterial Meningitis in a Child With Mondini Dysplasia

Cited by 3 publications

References 7 publications

Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

Displasia Mondini sebagai faktor risiko terjadinya komplikasi meningitis berulang

Life-threatening unilateral hearing impairments. Review of the literature on the association between inner ear malformations and meningitis

Surgical Treatment for Cerebrospinal Fluid Leaks in Patients With Inner Ear Malformations

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