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Chronic serous otitis media as a manifestation of temporal meningioma

S Keereweer1, R M Metselaar, R Dammers

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands. s.keereweer@erasmusmc.nl

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|September 7, 2011
PubMed

Insights

A rare cause of chronic otitis media was identified as cerebrospinal fluid (CSF) leakage due to a temporal bone meningioma. Surgical repair resolved the middle ear fluid, highlighting the importance of advanced imaging for resistant cases.

Area of Science:

  • Otorhinolaryngology
  • Neurology
  • Neurosurgery

Background:

  • Chronic serous otitis media commonly presents to otorhinolaryngologists.
  • Eustachian tube dysfunction, often due to rhinitis or nasopharyngeal tumors, is the usual cause.
  • This case involved chronic otitis media resistant to standard treatments.

Observation:

  • A patient with persistent middle ear effusion was evaluated.
  • Conventional therapies for otitis media were ineffective.
  • Magnetic Resonance Imaging (MRI) with gadolinium was performed.

Findings:

  • MRI revealed cerebrospinal fluid (CSF) leakage into the middle ear.
  • The leakage resulted from bone erosion caused by a temporal meningioma.
  • Histopathology confirmed the temporal bone meningioma.

Implications:

  • Temporal meningiomas can present atypically as chronic otitis media.
  • Advanced imaging like MRI is crucial for diagnosing rare causes of middle ear effusions.
  • Surgical intervention for CSF leaks can resolve resistant otitis media.

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