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
Hauptverfasser: Ferguson, Berrylin J., Wilkins, Robert H., Hudson, William, Farmer Jr, Joseph
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container_end_page 644
container_issue 6
container_start_page 635
container_title The Laryngoscope
container_volume 96
creator Ferguson, Berrylin J.
Wilkins, Robert H.
Hudson, William
Farmer Jr, Joseph
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.
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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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