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Recurrent meningitis associated with a petrous apex cephalocele
Toshino Motojima1, Katsunori Fujii, Naruhiko Ishiwada
1Department of Pediatrics, Graduate School of Medicine, Chiba University, Japan. toshino@cocoa.ocn.ne.jp
Abstract:
We present the case of a 6-year-old girl with recurrent bacterial meningitis and cerebrospinal fluid (CSF) rhinorrhea associated with a petrous apex cephalocele (PAC). We diagnosed her by means of three-dimensional computed tomography (CT) and heavily T2-weighted magnetic resonance imaging (MRI). Petrous apex cephaloceles are usually an asymptomatic incidental finding in adults; however, they should be considered as a possible cause of CSF rhinorrhea, otorrhea, and recurrent meningitis in children.
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