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Published on: May 18, 2010
Mondini dysplasia and pyogenic meningitis
Milind S Tullu1, Shilpa S Khanna, Jaishree R Kamat
1Department of Pediatrics, Seth G. S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India. milindtullu@yahoo.com
Abstract:
Mondini dysplasia with cerebrospinal fluid leak is a rare cause of recurrent pyogenic meningitis in children. We describe an eleven-year-old female child who presented with the fifth recurrent episode of pyogenic meningitis and unilateral sensorineural deafness. Mondini dysplasia of the inner ear with CSF-perilymph fistula was proven on an HRCT of the temporal bone and MRI. Successful operative intervention was undertaken to close the defect. Though rare, Mondini dysplasia should be considered as a cause of recurrent meningitis in children, especially if they have sensorineural deafness.
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