Related Experiment Video
Updated: Aug 18, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
Hyrtl's fissure: a case of spontaneous cerebrospinal fluid otorrhea
F Jégoux1, O Malard, M Gayet-Delacroix
1Service d'ORL et chirurgie cervico-faciale, CHU Hotel-Dieu, Nantes, France.
Abstract:
Spontaneous CSF otorrhea is a relatively rare entity. Adequate diagnosis and treatment are needed to avoid life-threatening complications such as meningitis. Because diagnosis is based on CT findings, identification of the different pathways of congenital fistulas requires detailed knowledge of embryology and anatomy. The facial canal, petromastoid canal, and tympanomeningeal (Hyrtl's) fissure can be responsible for CSF fluid otorrhea in the absence of any abnormality of the adjacent membranous labyrinth. We report the first documented and imaging case of Hyrtl's fissure and its treatment.
Related Concept Videos
Increased Intracranial Pressure l: Introduction
Brain Abscess l: Introduction
Increased Intracranial Pressure ll: Pathophysiology
Anatomy of the Brain: Ventricles
Anatomy of the Ear
Glaucoma: Overview
