Cerebrospinal fluid otorrhea masquerading as cerebrospinal fluid rhinorrhea: a rare presentation
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20243519Keywords:
CSF rhinorrhea, Otorrhea, Congenital inner ear dysplasiaAbstract
Congenital inner ear disorders are associated with cerebrospinal fluid (CSF) leaks and recurrent meningitis. Here we present a case report of a 47-year-old male patient who presented with CSF rhinorrhea and recurrent meningitis with an unidentified congenital inner disorder, which was later identified as CSF otorrhea, and had leak repair done. In this paper, we stress considering CSF otorrhea as a differential diagnosis while dealing with the presentation of recurrent meningitis.
Metrics
References
Golhar P, Nagaonkar S. Management of meningitis due to cystic cochleovestibular malformation: a stitch in time. Indian J Otolaryngol Head Neck Surg. 2022;74(3):S3733-7.
Sennaroglu L, Bajin MD. Classification and current management of inner ear malformations. Balk Med J. 2017;34(5):397-411.
Sennaroglu L, Sennaroglu G, Ozgen B. Management of Inner ear Malformations, in Sataloff's Comprehensive Textbook of Otolaryngology. In: Sataloff RT, editor. JP Medical Publishers. 2015;91-106.
Sennaroglu L. Histopathology of inner ear malformations: Do we have enough evidence to explain pathophysiology? Cochlear Implants Int. 2016;17(1):3-20.
Brotto D, Avato I, Lovo E, Muraro E, Bovo R, Trevisi P, et al. Epidemiologic, Imaging, Audiologic, Clinical, Surgical, and Prognostic Issues in Common Cavity Deformity: A Narrative Review. JAMA Otolaryngol Neck Surg. 2019;145(1):72-8.
Tebruegge M, Curtis N. Epidemiology, Etiology, Pathogenesis and Diagnosis of Recurrent Bacterial Meningitis. Clin Microbiol Rev. 2009;22(1):183.
Zweirtz A, Masna K, Burduk P. Recurrent Meningitis in Congenital Inner ear Malformation. Ear Nose Throat J. 2021;100(1):38S-41S.
Wang B, Dai WJ, Xiao-Ting C, Wen-Yi L, Ya-Sheng Y, Chun-Fu D, Yi-Lai S, Bing C, et al. Cerebrospinal fluid otorrhea secondary to congenital inner ear dysplasia: diagnosis and management of 18 case. J Zheyang University Sci B. 2019;20(2):156-63.
Ng MMY, Arco FD, Chorbachi R, Nash R. Oval window perilymph fistula in child with recurrent meningitis and unilateral hearing loss. BMJ. 2020;13(7):e234744.
