成人の特発性髄液耳漏例

書誌事項

タイトル別名
  • Adult-Onset Spontaneous CSF Otorrhea; A Case Report.
  • A Case Report

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A 67-year-old man was hospitalized for septic meningitis following acute otitis media in the right ear. Four months after onset of meningitis he consulted our clinic complaining of fluid in the middle ear. Computed tomographic scan showed a large bony defect in the posterior fossa plate of the right temporal bone. Magnetic resonance imaging demonstrated that there was continuity of cerebrospinal fluid (CSF) through the area of bone erosion into the mastoid air cells. An intact canal wall mastoidectomy was performed to repair the bony and dural defect with obliteration of adipose tissue into the mastoid cavity. CSF otorrhea has not recurred for 1 year after surgery.<br>This is the fourth case of adult-onset spontaneous CSF otorrhea in Japan.<br>The causes of CSF otorrhea related to dural defect and bone erosion are discussed.

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