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Recurrent meningitis due to a congenital fistula of the stapedial footplate

Published online by Cambridge University Press:  29 June 2007

H. S. Kaddour
H. S. Kaddour*
Affiliation:
Department of Otolaryngology, St James's University Hospital, Leeds.
*
Mr H. S. Kaddour, 30 The Ghyll, Fixby, Huddersfield, West Yorkshire, HD2 2HR.
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Abstract

A rare case of a congenital fistula of the stapes footplate, in a 10-year-old girl, resulting in recurrent meningitis, is reported. A full ENT examination and a high index of suspicion, is essential if the diagnosis is to be made.

Exploratory tympanotomy should be considered on clinical grounds, even if a high resolution CT scan of the temporal bones does not show any anomalies, in order to ascertain the definite diagnosis of a fistula and to seal it permanently.

Keywords

StapesFistulacongenitalMeningitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 10 , October 1993 , pp. 931 - 932
Copyright
Copyright © JLO (1984) Limited 1993

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References

Bauer, E. (1962) Spontane Oto-Liquorrhoe auf Grund einer kongenitalen Missbildung des Aquaductus Cochleae. Zeitschrift für Laryngologie. Rhinologie und Otologie 41: 704–723.Google Scholar
Escat, E. (1897) Ecoulement spontane de liquid cephalorachidien par le conduit auditif externe, fistule congenitale probale. Archives International of Laryngology 10: 635–658.Google Scholar
Guindi, G. M. (1981) Congenital labryntho-tympanic fistula: a recently recognized entity in children. Journal of Otolaryngology 10: 67–71.Google ScholarPubMed
Gundersen, T., Haye, R. (1970) Cerebrospinal otorrhoea. Archives of Otolaryngology 91: 19–23.CrossRefGoogle Scholar
Harrington, J. W., Birck, H. G. (1967) Recurrent meningitis due to congenital petrous fistula. Archives of Otolaryngology 85: 572–575.CrossRefGoogle ScholarPubMed
Hicks, G. W., Wright, J. W., Wright, J. W. III (1980) Cerebrospinal fluid otorrhoea. Laryngoscope 90 (suppl.25)CrossRefGoogle Scholar
Hipskind, M. M., Lindsay, J. R., Jones, T. D., Valvassori, G. F., (1976) Recurrent meningitis and labrynthine gusher, related to congenital defects of the labrynthine capsule and stapes footplate. Laryngoscope 86: 682–689.CrossRefGoogle Scholar
Kaufman, B., Nulsen, F. E., Weiss, M. H., Brodkey, J. S., White, R. J., Sykora, C. F. (1977) Acquired spontaneous, non-traumatic normal-pressure cerebrospinal fluid fistulas originating from the middle fossa. Radiology 122: 379–387.CrossRefGoogle Scholar
McNab-Jones, R. F., Fairburn, B. (1977) Spontaneous cerebrospinal fluid otorrhoea. Journal of Laryngology and Otology 91: 897–902.CrossRefGoogle Scholar
Nenzelius, C. (1951) On spontaneous cerebrospinal otorrhoea due to congenital malformations. Acta Otolaryngologica 39: 314–328.CrossRefGoogle ScholarPubMed
Parisier, S. C., Birken, E. A. (1976) Recurrent meningitis secondary to idiopathic oval window CSF leak. Laryngoscope 86: 1502–1515.CrossRefGoogle ScholarPubMed
Phelps, P. D. (1986) Congenital cerebrospinal fluid fistulae of the petrous temporal bone. Clinical Otolaryngology 11: 79–92.CrossRefGoogle ScholarPubMed
Phillipps, J. J. (1986) Bilateral oval window fistulae with recurrent meningitis. Journal of Laryngology and Otology 100: 329–331.CrossRefGoogle ScholarPubMed
Quiney, R. E., Mitchel, D. B., Evans, J. N. G. (1989) Recurrent meningitis in children due to inner ear abnormalities. Journal of Laryngology and Otology 103: 473–480.CrossRefGoogle ScholarPubMed
Richards, S. H., Gibbin, K. P. (1977) Recurrent meningitis due to a congenital fistula of the stapedial footplate. Journal of Laryngology and Otology 91: 1063–1071.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1974) Pathology of the ear, University Press. Cambridge, Mass., p. 250.Google Scholar
Skolnik, E. M., Ferrer, J. L. (1959) Cerebrospinal otorrhoea. Archives otOlaryngology 70: 795–799.CrossRefGoogle Scholar
Stool, S., Leeds, N. E., Shulman, K. (1967) The syndrome of congenital deafness and otitic meningitis: diagnosis and management. Journal of Paediatrics 71: 547–552.CrossRefGoogle Scholar
Wright, A. (1987) Development of the human ear. In Scott-Brown's Otolaryngology, 5th Edition, vol. 1. Basic Sciences, Chap. 1. Anatomy and ultrastructure of the human ear. (Wright, D., Kerr, A. G., eds.), Butterworths Scientific, London, pp. 1–10.Google Scholar