A Case Report of Brain Herniation into the Middle Ear Mimicking as Secondary Cholesteatoma Following Temporal Bone Fracture.
- Author:
See Young PARK
1
;
Joong Wook SHIN
;
Bum Jo JUNG
;
Min Suck KIM
Author Information
1. Department of Otolaryngology, College of Medicine, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea. j-hoons94@hanmail.net
- Publication Type:Case Report
- Keywords:
Brain herniation;
Middle ear;
Temporal bone fracture
- MeSH:
Brain;
Cerebrospinal Fluid Otorrhea;
Cholesteatoma;
Ear, Middle;
Hearing Loss;
Humans;
Meningitis;
Neurologic Manifestations;
Otitis Media;
Skull Base;
Temporal Bone;
Tinnitus
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2008;51(1):84-87
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Brain herniation into the middle ear cavity is a rare entity that occurs mostly as a complication of otologic surgery. Other causes include a congenital skull base defect, infection, trauma, neoplasm and irradiation. It gives rise to cerebrospinal fluid otorrhea, progressive hearing loss, tinnitus, meningitis and other neurologic symptoms. Such patients tend to be misdiagnosed as having chronic otitis media and are often treated for long periods with inadequate conservative therapy. We report a case of brain herniation into the middle ear following traumatic temporal bone fracture, which was treated surgically via a transmastoid approach.
