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Spontaneous cerebrospinal fluid otorrhea

S Manaka, T Hashimoto, H Nawata

    Surgical Neurology
    |January 1, 1976
    PubMed

    Insights

    A rare case of spontaneous cerebrospinal fluid otorrhea, a leak from the ear, was successfully treated. The leak, originating from the internal auditory canal, was sealed using muscle and Gelfoam packing.

    Area of Science:

    • Neurology
    • Otolaryngology
    • Infectious Disease

    Background:

    • Spontaneous cerebrospinal fluid (CSF) otorrhea is a rare condition.
    • Recurrent meningitis can be a complication of CSF otorrhea.
    • Identifying the exact site of CSF leakage is crucial for effective treatment.

    Observation:

    • A patient presented with spontaneous cerebrospinal fluid otorrhea and a history of recurrent meningitis.
    • The cerebrospinal fluid leak was identified as originating from the internal auditory meatus.
    • Conservative management was initiated to address the otorrhea.

    Findings:

    • The cerebrospinal fluid otorrhea was successfully managed by packing the internal auditory meatus.
    • Muscle and Gelfoam were utilized as packing materials to seal the leak.
    • This intervention effectively resolved the cerebrospinal fluid otorrhea and prevented further meningitis episodes.

    Implications:

    • This case highlights the internal auditory meatus as a potential route for spontaneous CSF otorrhea.
    • Surgical packing of the internal auditory meatus is an effective treatment for spontaneous CSF otorrhea.
    • Prompt diagnosis and management can prevent complications like recurrent meningitis.

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