| Spontaneous cerebrospinal fluid otorrhoea: case report and literature review. | |
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MedLine Citation:
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PMID: 12585239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cerebrospinal fluid otorrhoea may occur through the temporal bone both in children and adults. In children it is generally associated with labyrinthine malformations and usually presents with hearing loss in a child with recurrent meningitis. In adults it is sequel to direct head injury, otologic or neurotologic surgery or infection. More rarely this pathology is described as being "spontaneous", occurring without any history of trauma, surgery or infection. Spontaneous cerebrospinal fluid otorrhoea in adults may present with dull symptoms such as a blocked ear or short term conductive hearing-loss. The anatomic site of this fistula is the tegmen tympani which may have a microscopic or macroscopic bone deficiency or sometimes even a "silent" meningoencephalic herniation. The authors describe a case of spontaneous cerebrospinal fluid otorrhoea occurring in an adult patient with bilateral absence of the tegmen tympani and review the literature regarding this specific. They suggest that its actual occurrence may be underestimated. Special attention should be given to adult patients with recurrent or persistent middle ear effusion. Any suspicion should be followed by meticulous imaging and surgical exploration since this may be a lifethreatnening situation. |
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Authors:
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J R Paschoal; R Maunsell; A Vargas |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Revue de laryngologie - otologie - rhinologie Volume: 123 ISSN: 0035-1334 ISO Abbreviation: Rev Laryngol Otol Rhinol (Bord) Publication Date: 2002 |
Date Detail:
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Created Date: 2003-02-11 Completed Date: 2003-08-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0414144 Medline TA: Rev Laryngol Otol Rhinol (Bord) Country: France |
Other Details:
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Languages: eng Pagination: 195-8 Citation Subset: IM |
Affiliation:
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Hospital das Clínicas, Cidade Universitária Zeferino Vaz, disciplina de Otorrinolaringologia-Cabeça e Pescoço, Depto. Oftalmo/Otorrinolaringologia, São Paulo Brazil. jorgepaschoal@hotmail.com.br |
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebrospinal Fluid Otorrhea
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diagnosis* Female Humans Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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