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Meningocoele of fallopian canal causing recurrent meningitis

Published online by Cambridge University Press:  20 October 2009

G Dhanasekar ,
K Pearman  and
R Irving
G Dhanasekar*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Birmingham Children's Hospital, UK
K Pearman
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Birmingham Children's Hospital, UK
R Irving
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Birmingham Children's Hospital, UK
*
Address for correspondence: Mr G Dhanasekar, 6 Woodhayes Croft, Wolverhampton WV10 8PP, UK. E-mail: DhanasekarENT@aol.com
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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.

Keywords

MeningoceleFallopianMeningitisCochlear Implants
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 460 - 462
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

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

References

1 Harrington, JW Jr, Birck, HG. Recurrent meningitis due to congenital petrous fistula: a case report. Arch Otolaryngol 1967;85:572–5CrossRefGoogle ScholarPubMed
2 Gacek, RR, Leipzig, B. Congenital cerebrospinal otorrhea. Ann Otol Rhinol Laryngol 1979;88:358–65CrossRefGoogle ScholarPubMed
3 Barcz, DV, Wood, RP 2nd, Stears, J, Jafek, BW, Shields, M. Subarachnoid space: middle ear pathways and recurrent meningitis. Am J Otol 1985;6:157–63Google ScholarPubMed
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;106:197–200Google ScholarPubMed
5 Foyt, D, Brackmann, DE. Cerebrospinal fluid otorrhea through a congenitally patent fallopian canal. Arch Otolaryngol Head Neck Surg 2000;126:540–2CrossRefGoogle ScholarPubMed
6 Isaacson, JE, Linder, TE, Fisch, U. Arachnoid cyst of the fallopian canal: a surgical challenge. Otol Neurotol 2002;23:589–93CrossRefGoogle ScholarPubMed
7 Giddings, NA, Brackmann, DE. Surgical treatment of difficult cerebrospinal fluid otorrhea. Am J Otol 1994;15:781–4Google Scholar
8 Wetmore, SJ, Herrmann, P, Fisch, U. Spontaneous cerebrospinal otorrhea. Am J Otol 1987;8:96–102Google Scholar
9 Ferguson, BJ, Wilkins, RH, Hudson, W, Farmer, J Jr. Spontaneous CSF otorrhea from tegmen and posterior fossa defects. Laryngoscope 1986;96:635–44CrossRefGoogle ScholarPubMed
10 Nicklaus, P, Dutcher, PO, Hengerer, AS, Kido, DK, Nelson, CN. New imaging techniques in diagnosis of cerebrospinal fluid fistula. Laryngoscope 1988;98:1065–8CrossRefGoogle ScholarPubMed
11 Fisch, U, Mattox, D. Subtotal petrosectomy. In: Fisch, U, Mattox, D, eds. Microsurgery of the Skull Base. New York: Thieme, 1988;4–69Google Scholar
12 Bendet, E, Cerenko, D, Linder, TF, Fisch, U. Cochlear implantation after subtotal petrosectomies. Eur Arch Otorhinolaryngol 1998;255:169–74CrossRefGoogle ScholarPubMed