Skip to main content Accessibility help
×
Home

Meningocoele of fallopian canal causing recurrent meningitis

  • G Dhanasekar (a1), K Pearman (a1) and R Irving (a1)

Abstract

Objective:

We report a rare case of meningocoele of the fallopian canal resulting in recurrent meningitis.

Methods:

We present a case report together with a review of the world literature concerning meningocoele of the fallopian canal and meningitis.

Results:

A child developed profound, bilateral, sensorineural hearing loss as a result of meningitis caused by a meningocoele of the fallopian canal. He was treated with bilateral cochlear implantation, with a subtotal petrosectomy and middle ear and eustachian tube obliteration on the affected side.

Conclusion:

Meningocoele of the fallopian canal has rarely been reported. This lesion can present with recurrent meningitis and, rarely, with facial weakness. All children with recurrent meningitis should be investigated for skull base defects. Treatment aims to prevent further episodes of meningitis; we recommend that this is best achieved by the technique of subtotal petrosectomy, with obliteration of the middle ear and eustachian tube.

Copyright

Corresponding author

Address for correspondence: Mr G Dhanasekar, 6 Woodhayes Croft, Wolverhampton WV10 8PP, UK. E-mail: DhanasekarENT@aol.com

Footnotes

Hide All

Presented as a poster at the XI International Facial Nerve Symposium, 25–28th April 2009, Rome, Italy.

Footnotes

References

Hide All
1 Harrington, JW Jr, Birck, HG. Recurrent meningitis due to congenital petrous fistula: a case report. Arch Otolaryngol 1967;85:572–5
2 Gacek, RR, Leipzig, B. Congenital cerebrospinal otorrhea. Ann Otol Rhinol Laryngol 1979;88:358–65
3 Barcz, DV, Wood, RP 2nd, Stears, J, Jafek, BW, Shields, M. Subarachnoid space: middle ear pathways and recurrent meningitis. Am J Otol 1985;6:157–63
4 Legent, F, Gayet, M, Albisetti, J, Korb, G, Beauvillain, C, Bordure, P. Malformation of the facial canal, meningitis and cerebrospinal otorrhea [in French]. Ann Otolaryngol Chir Cervicofac 1989;106:197200
5 Foyt, D, Brackmann, DE. Cerebrospinal fluid otorrhea through a congenitally patent fallopian canal. Arch Otolaryngol Head Neck Surg 2000;126:540–2
6 Isaacson, JE, Linder, TE, Fisch, U. Arachnoid cyst of the fallopian canal: a surgical challenge. Otol Neurotol 2002;23:589–93
7 Giddings, NA, Brackmann, DE. Surgical treatment of difficult cerebrospinal fluid otorrhea. Am J Otol 1994;15:781–4
8 Wetmore, SJ, Herrmann, P, Fisch, U. Spontaneous cerebrospinal otorrhea. Am J Otol 1987;8:96102
9 Ferguson, BJ, Wilkins, RH, Hudson, W, Farmer, J Jr. Spontaneous CSF otorrhea from tegmen and posterior fossa defects. Laryngoscope 1986;96:635–44
10 Nicklaus, P, Dutcher, PO, Hengerer, AS, Kido, DK, Nelson, CN. New imaging techniques in diagnosis of cerebrospinal fluid fistula. Laryngoscope 1988;98:1065–8
11 Fisch, U, Mattox, D. Subtotal petrosectomy. In: Fisch, U, Mattox, D, eds. Microsurgery of the Skull Base. New York: Thieme, 1988;469
12 Bendet, E, Cerenko, D, Linder, TF, Fisch, U. Cochlear implantation after subtotal petrosectomies. Eur Arch Otorhinolaryngol 1998;255:169–74

Keywords

Meningocoele of fallopian canal causing recurrent meningitis

  • G Dhanasekar (a1), K Pearman (a1) and R Irving (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed