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1 results

  • Spontaneous resolution of cerebrospinal fluid otorrhoea in a patient with a Hyrtl's fissure

  • R Brar, A Vijendren, M Salam, G Picken
  • Journal:
    The Journal of Laryngology & Otology / Volume 129 / Issue 8 / August 2015
    Published online by Cambridge University Press:
    05 August 2015, pp. 817-819
    Print publication:
    August 2015
  • Objective:

    This paper reports a rare case of cerebrospinal fluid leak due to a Hyrtl's fissure and discusses the non-operative management of the case.

    Background and case report:

    Cerebrospinal fluid otorrhoea is a rare phenomenon arising from an abnormal communicating tract between the subarachnoid space and middle ear. Affected patients are at a higher risk of developing meningitis and other neuro-otological complications. There are four common congenital causes of cerebrospinal fluid otorrhoea in the region of a normal labyrinth. This paper describes a case of cerebrospinal fluid in the middle ear resulting from a Hyrtl's fissure, which resolved spontaneously.

    Conclusion:

    A literature search indicated this to be the first case with such a resolution without the need for any intervention.