Spontaneous Bilateral Meningoencephalocoeles of the Temporal Bones. (29th October 2013)

• Record Type: Journal Article
• Authors: Rose, Oliver; Neeff, Michel; Low, Christopher
• Other Names: Kakigi A. Academic Editor.; Ulualp S. Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2013(2013)
• Publication Date: 2013-10-29
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2013/969762
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : Spontaneous tegmen tympani defects are rare with even rarer bilateral cases. The symptoms are nonspecific; hence, a high index of suspicion is required to prevent serious intracranial complications. We present a case of spontaneous bilateral tegmen tympani defects with associated meningoencephalocoeles in a 54-year-old male who presented with the signs and symptoms of severe meningitis. After careful workup which included a lumbar puncture, CT and MRI scans, both defects were repaired using a middle fossa approach. The patient made an uneventful recovery with complete cessation of otorrhoea and improvement in his hearing.