Spontaneous csf otorrhea from tegmen and posterior fossa defects
Spontaneous cerebrospinal otorrhea (SCSFO) from tegmen or posterior fossa defects is uncommon. Twenty‐nine cases have been detailed in the literature to date. We report an additional four cases from three patients. This group of 33 cases of SCSFO from tegmen or posterior fossa defects is characteriz...
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Veröffentlicht in: | The Laryngoscope 1986-06, Vol.96 (6), p.635-644 |
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description | Spontaneous cerebrospinal otorrhea (SCSFO) from tegmen or posterior fossa defects is uncommon. Twenty‐nine cases have been detailed in the literature to date. We report an additional four cases from three patients. This group of 33 cases of SCSFO from tegmen or posterior fossa defects is characterized by certain clinical features. These patients are usually older adults (mean age 48 years, range 8 months to 80 years). Aural fullness with a serous appearing middle ear effusion, or clear otorrhea, often subsequent to tube myringotomy, are the usual initial symptoms. Meningitis was the initial manifestation in eight patients (24%), and ultimately occurred in an additional four patients (12%).
The pathophysiologic basis for SCSFO from tegmen defects is discussed. Methods for diagnosing and treating CSF otorrhea from tegmen defects are reviewed. |
doi_str_mv | 10.1288/00005537-198606000-00009 |
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The pathophysiologic basis for SCSFO from tegmen defects is discussed. Methods for diagnosing and treating CSF otorrhea from tegmen defects are reviewed.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1288/00005537-198606000-00009</identifier><identifier>PMID: 3520197</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cerebrospinal Fluid Otorrhea - diagnosis ; Cerebrospinal Fluid Otorrhea - etiology ; Cerebrospinal Fluid Otorrhea - physiopathology ; Child ; Child, Preschool ; Cochlea - physiopathology ; Cranial Fossa, Posterior ; Encephalocele - complications ; Encephalocele - physiopathology ; Female ; Hearing Tests ; Humans ; Infant ; Male ; Malformations of the nervous system ; Medical sciences ; Meningitis - etiology ; Meningitis - physiopathology ; Middle Aged ; Neurology ; Otitis Media with Effusion - diagnosis ; Skull ; Temporal Bone ; Tomography, X-Ray Computed</subject><ispartof>The Laryngoscope, 1986-06, Vol.96 (6), p.635-644</ispartof><rights>Copyright © 1986 The Triological Society</rights><rights>1986 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5049-5056a96af8cc5c906ad09c0a74f9d904c250a516af4e6878aedaa8090ce4dbef3</citedby><cites>FETCH-LOGICAL-c5049-5056a96af8cc5c906ad09c0a74f9d904c250a516af4e6878aedaa8090ce4dbef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8791982$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3520197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferguson, Berrylin J.</creatorcontrib><creatorcontrib>Wilkins, Robert H.</creatorcontrib><creatorcontrib>Hudson, William</creatorcontrib><creatorcontrib>Farmer Jr, Joseph</creatorcontrib><title>Spontaneous csf otorrhea from tegmen and posterior fossa defects</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Spontaneous cerebrospinal otorrhea (SCSFO) from tegmen or posterior fossa defects is uncommon. Twenty‐nine cases have been detailed in the literature to date. We report an additional four cases from three patients. This group of 33 cases of SCSFO from tegmen or posterior fossa defects is characterized by certain clinical features. These patients are usually older adults (mean age 48 years, range 8 months to 80 years). Aural fullness with a serous appearing middle ear effusion, or clear otorrhea, often subsequent to tube myringotomy, are the usual initial symptoms. Meningitis was the initial manifestation in eight patients (24%), and ultimately occurred in an additional four patients (12%).
The pathophysiologic basis for SCSFO from tegmen defects is discussed. Methods for diagnosing and treating CSF otorrhea from tegmen defects are reviewed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal Fluid Otorrhea - diagnosis</subject><subject>Cerebrospinal Fluid Otorrhea - etiology</subject><subject>Cerebrospinal Fluid Otorrhea - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cochlea - physiopathology</subject><subject>Cranial Fossa, Posterior</subject><subject>Encephalocele - complications</subject><subject>Encephalocele - physiopathology</subject><subject>Female</subject><subject>Hearing Tests</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Malformations of the nervous system</subject><subject>Medical sciences</subject><subject>Meningitis - etiology</subject><subject>Meningitis - physiopathology</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Otitis Media with Effusion - diagnosis</subject><subject>Skull</subject><subject>Temporal Bone</subject><subject>Tomography, X-Ray Computed</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMuO1DAQRS0EGpqBT0DyArELlJP4tWM0wzyk5g1iWFk1ThkCSdzYacH8PW7S9BpvSr516lbpMsYFPBO1Mc-hPCkbXQlrFKjyq3aSvcNWQjaiaq2Vd9kKoG4qI-vr--xBzt8BhG4kHLGjRtYgrF6xFx82cZpxorjN3OfA4xxT-kbIQ4ojn-nrSBPHqeObmGdKfUw8xJyRdxTIz_khuxdwyPRoX4_Zp_OXH08vq_Wbi6vTk3XlJbS2kiAVWoXBeC-9BYUdWA-o22A7C62vJaAUBWhJGW2QOkQDFjy13Q2F5pg9XXw3Kf7cUp7d2GdPw7Dc7rQyUrVWF9AsoE_lzkTBbVI_Yrp1AtwuPPcvPHcI769ky-jj_Y7tzUjdYXCfVuk_2fcxexxCwsn3-YAZbYtjXbCzBfvVD3T73-vd-uT9FylbsDt1d0212PQl-N8HG0w_nNKNlu7z6wv36u05vLs-WzvV_AGVBpkj</recordid><startdate>198606</startdate><enddate>198606</enddate><creator>Ferguson, Berrylin J.</creator><creator>Wilkins, Robert H.</creator><creator>Hudson, William</creator><creator>Farmer Jr, Joseph</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>198606</creationdate><title>Spontaneous csf otorrhea from tegmen and posterior fossa defects</title><author>Ferguson, Berrylin J. ; Wilkins, Robert H. ; Hudson, William ; Farmer Jr, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5049-5056a96af8cc5c906ad09c0a74f9d904c250a516af4e6878aedaa8090ce4dbef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal Fluid Otorrhea - diagnosis</topic><topic>Cerebrospinal Fluid Otorrhea - etiology</topic><topic>Cerebrospinal Fluid Otorrhea - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cochlea - physiopathology</topic><topic>Cranial Fossa, Posterior</topic><topic>Encephalocele - complications</topic><topic>Encephalocele - physiopathology</topic><topic>Female</topic><topic>Hearing Tests</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Malformations of the nervous system</topic><topic>Medical sciences</topic><topic>Meningitis - etiology</topic><topic>Meningitis - physiopathology</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Otitis Media with Effusion - diagnosis</topic><topic>Skull</topic><topic>Temporal Bone</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferguson, Berrylin J.</creatorcontrib><creatorcontrib>Wilkins, Robert H.</creatorcontrib><creatorcontrib>Hudson, William</creatorcontrib><creatorcontrib>Farmer Jr, Joseph</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferguson, Berrylin J.</au><au>Wilkins, Robert H.</au><au>Hudson, William</au><au>Farmer Jr, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous csf otorrhea from tegmen and posterior fossa defects</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1986-06</date><risdate>1986</risdate><volume>96</volume><issue>6</issue><spage>635</spage><epage>644</epage><pages>635-644</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Spontaneous cerebrospinal otorrhea (SCSFO) from tegmen or posterior fossa defects is uncommon. Twenty‐nine cases have been detailed in the literature to date. We report an additional four cases from three patients. This group of 33 cases of SCSFO from tegmen or posterior fossa defects is characterized by certain clinical features. These patients are usually older adults (mean age 48 years, range 8 months to 80 years). Aural fullness with a serous appearing middle ear effusion, or clear otorrhea, often subsequent to tube myringotomy, are the usual initial symptoms. Meningitis was the initial manifestation in eight patients (24%), and ultimately occurred in an additional four patients (12%).
The pathophysiologic basis for SCSFO from tegmen defects is discussed. Methods for diagnosing and treating CSF otorrhea from tegmen defects are reviewed.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>3520197</pmid><doi>10.1288/00005537-198606000-00009</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Cerebrospinal Fluid Otorrhea - diagnosis Cerebrospinal Fluid Otorrhea - etiology Cerebrospinal Fluid Otorrhea - physiopathology Child Child, Preschool Cochlea - physiopathology Cranial Fossa, Posterior Encephalocele - complications Encephalocele - physiopathology Female Hearing Tests Humans Infant Male Malformations of the nervous system Medical sciences Meningitis - etiology Meningitis - physiopathology Middle Aged Neurology Otitis Media with Effusion - diagnosis Skull Temporal Bone Tomography, X-Ray Computed |
title | Spontaneous csf otorrhea from tegmen and posterior fossa defects |
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