Related Experiment Video
Updated: Jun 23, 2025
Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
Recurrent bacterial meningitis caused by incomplete Type I inner ear malformation: A case report
Zhong Luo1, Piao Cao1, Chun-Lin Zhang2
1Department of Neurology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.
Abstract:
The incidence of incomplete partition Type I inner ear malformation is very low; therefore, bacterial meningitis caused by this malformation is also rare. Here, we report a case of such a patient. This case is a young female patient, who is 7 years old, began to have recurrent headaches, and after 5 years, also began to have chest and back pain. The doctor diagnosed meningitis, and the anti-infection treatment was effective. She was followed up annually and continued to have outbreaks repeatedly for 17 years, but the cause of repeated infection was not found. After a detailed diagnosis and treatment in our hospital, the patient was finally diagnosed with incomplete partition Type I inner ear malformation, resulting in repeated bacterial meningitis. The patient recovered well after surgical treatment, and the symptoms did not recur after 1-year follow-up.
Insights
Recurrent bacterial meningitis in a child was linked to a rare inner ear malformation. Surgical intervention for the incomplete partition Type I malformation resolved the persistent infections, offering a successful treatment outcome.
Area of Science:
- Otolaryngology
- Pediatric Neurology
- Infectious Diseases
Background:
- Incomplete partition Type I is a rare inner ear malformation.
- Bacterial meningitis secondary to inner ear malformations is uncommon.
- Identifying the cause of recurrent meningitis can be challenging.
Observation:
- A 7-year-old female presented with recurrent headaches, later developing chest and back pain.
- Initial diagnosis of meningitis was treated effectively, but outbreaks persisted for 17 years.
- The underlying cause of the repeated infections remained elusive despite annual follow-ups.
Findings:
- Detailed diagnosis revealed incomplete partition Type I inner ear malformation as the cause of recurrent bacterial meningitis.
- Surgical treatment of the malformation led to complete recovery.
- No recurrence of symptoms was observed during a 1-year follow-up period.
Implications:
- This case highlights the importance of considering rare congenital malformations in cases of recurrent meningitis.
- Early diagnosis and surgical management of inner ear malformations can prevent recurrent infections.
- Successful surgical outcome suggests a viable treatment strategy for similar rare conditions.
Related Concept Videos
01:15Equilibrium and Balance
01:16Anatomy of the Ear