Document Detail

Spontaneous onset of CSF otorrhea from a facial canal fistula in an adult: case report.
MedLine Citation:
PMID:  11859646     Owner:  NLM     Status:  MEDLINE    
The purpose of this report is to describe a 64-year-old woman who presented an 8 month history of recurrent spontaneous cerebrospinal fluid leakage into the left middle ear. High resolution computed tomography and computed tomography cisternography showed only a mild protrusion of the tympanic segment of the left facial canal into the ipsilateral middle ear but no definitive fistula. At surgical exploration, cerebrospinal fluid leakage resulted from a fistula in the tympanic segment of the left facial canal. In conclusion, in the adult patient reported herein, the fistula leading to spontaneous CSF otorrhea was identified definitely only intraoperatively. Furthermore, although there were no signs or symptoms of facial nerve dysfunction, it was located in a rare site such as the second segment of the facial canal. When the clinical history, physical examination, and laboratory analysis are strongly suggestive for spontaneous CSF otorrhea, surgical exploration is mandatory even if neuroimaging evaluation is negative or questionable.
R Piane; A Cerase; C Mezzedimi; L Bellussi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta oto-rhino-laryngologica Belgica     Volume:  55     ISSN:  0001-6497     ISO Abbreviation:  Acta Otorhinolaryngol Belg     Publication Date:  2001  
Date Detail:
Created Date:  2002-02-25     Completed Date:  2002-08-09     Revised Date:  2009-01-14    
Medline Journal Info:
Nlm Unique ID:  0373057     Medline TA:  Acta Otorhinolaryngol Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  279-84     Citation Subset:  IM    
ENT Department, Campo di Marte Hospital, Lucca, Italy.
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MeSH Terms
Cerebrospinal Fluid Otorrhea / etiology*
Ear, Middle
Facial Bones / abnormalities
Fistula / complications*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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