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  • Title: Simultaneous cerebrospinal fluid otorrhea and rhinorrhea as a cause of recurrent meningitis in a patient with cochlear dysplasia.
    Author: Joseph ST, Bhalodiya NH, Ghosh R.
    Journal: Eur J Pediatr; 2012 Aug; 171(8):1277-9. PubMed ID: 22450764.
    Abstract:
    UNLABELLED: Inner ear dysplasia is a rare cause of cerebrospinal fluid otorhinorrhea and presents in a variety of ways, ranging from asymptomatic to recurrent bacterial meningitis. We describe a 6-year-old boy who presented with clear watery nasal discharge and recurrent bacterial meningitis. Magnetic resonance cisternogram showed cerebrospinal fluid leak through the cribriform plate of ethmoid. High-resolution computed tomographic scan of temporal bones confirmed the diagnosis of cochlear dysplasia, with cerebrospinal fluid leak coming through a defect near the oval window and through the eustachian tube orifice into the nose. Surgical closure of the defects was performed successfully. CONCLUSION: Recurrent meningitis in a child should be investigated for inner ear malformations. Awareness of this condition, a high index of suspicion and early imaging can prevent complications and give excellent results in these children.
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