Document Detail

Brain herniation into the middle ear: two idiopathic cases treated by a combined intracranial-mastoid approach.
MedLine Citation:
PMID:  2671556     Owner:  NLM     Status:  MEDLINE    
One hundred thirty-nine cases of brain herniation into the middle ear and mastoid have been reported in the world literature during the last 40 years. In 29 cases the herniation was idiopathic. In idiopathic cases, intermittent CSF otorhinorrhea, a history of intermittent "serous otitis media," and a conductive hearing loss were the main clinical findings. Polytomography or CT-scan revealed a tegmen antri or tympani defect in some patients. There are three surgical approaches for treatment of brain herniation into the middle ear: neurosurgical, otological, and combined.
S Iurato; G C Ettorre; C Selvini
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Laryngoscope     Volume:  99     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-10-12     Completed Date:  1989-10-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  950-4     Citation Subset:  IM    
Department of Bioacoustics, University of Bari, Italy.
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MeSH Terms
Cerebrospinal Fluid Otorrhea / etiology
Ear, Middle* / surgery
Encephalocele / complications,  surgery*
Mastoid / surgery
Middle Aged
Otitis Media with Effusion / complications

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