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In Patients with Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication between the Subarachnoid Space and the Outside Must Be Sough.
J Int Adv Otol 2019; 15(2):313-316JI

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is not an uncommon condition, and it may lead to recurrent attacks of meningitis. The detection of the leakage site is an essential part of the investigations performed for the patient. In some cases, an anterior skull base site cannot be detected despite continuous leakage. In these cases, a more distal site must be sought. Furthermore, in some cases, the leakage occurs in the temporal bone. In such patients, a history of hearing loss or previous ear complaints indicates a hidden CSF otorhinorrhea. We present two adult cases of congenital hearing loss due to unilateral inner ear anomalies who presented later in life with repeated meningitis attacks and CSF otorhinorrhea.

Authors+Show Affiliations

Department of Otorhinolaryngology, Head and Neck Surgery, Ain-Shams University, Cairo, Egypt.Department of Otorhinolaryngology, Head and Neck Surgery, Ain-Shams University, Cairo, Egypt.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31257190

Citation

Mostafa, Badr E., and Lobna M. Elfiky. "In Patients With Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication Between the Subarachnoid Space and the Outside Must Be Sough." The Journal of International Advanced Otology, vol. 15, no. 2, 2019, pp. 313-316.
Mostafa BE, Elfiky LM. In Patients with Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication between the Subarachnoid Space and the Outside Must Be Sough. J Int Adv Otol. 2019;15(2):313-316.
Mostafa, B. E., & Elfiky, L. M. (2019). In Patients with Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication between the Subarachnoid Space and the Outside Must Be Sough. The Journal of International Advanced Otology, 15(2), pp. 313-316. doi:10.5152/iao.2019.4208.
Mostafa BE, Elfiky LM. In Patients With Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication Between the Subarachnoid Space and the Outside Must Be Sough. J Int Adv Otol. 2019;15(2):313-316. PubMed PMID: 31257190.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - In Patients with Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication between the Subarachnoid Space and the Outside Must Be Sough. AU - Mostafa,Badr E, AU - Elfiky,Lobna M, PY - 2019/7/2/pubmed PY - 2019/7/2/medline PY - 2019/7/2/entrez SP - 313 EP - 316 JF - The journal of international advanced otology JO - J Int Adv Otol VL - 15 IS - 2 N2 - Cerebrospinal fluid (CSF) rhinorrhea is not an uncommon condition, and it may lead to recurrent attacks of meningitis. The detection of the leakage site is an essential part of the investigations performed for the patient. In some cases, an anterior skull base site cannot be detected despite continuous leakage. In these cases, a more distal site must be sought. Furthermore, in some cases, the leakage occurs in the temporal bone. In such patients, a history of hearing loss or previous ear complaints indicates a hidden CSF otorhinorrhea. We present two adult cases of congenital hearing loss due to unilateral inner ear anomalies who presented later in life with repeated meningitis attacks and CSF otorhinorrhea. SN - 2148-3817 UR - https://www.unboundmedicine.com/medline/citation/31257190/In_Patients_with_Unexplained_Non-Epidemic_Recurrent_Meningitis_a_Direct_Communication_between_the_Subarachnoid_Space_and_the_Outside_Must_Be_Sough L2 - https://doi.org/10.5152/iao.2019.4208 DB - PRIME DP - Unbound Medicine ER -