Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-24T16:58:38.442Z Has data issue: false hasContentIssue false

Large cholesterol granuloma of the petrous apex treated via subcochlear drainage

Published online by Cambridge University Press:  08 March 2006

M. Jaramillo
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Derriford Hospital, Plymouth, U.K.
P. C. Windle-Taylor
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Derriford Hospital, Plymouth, U.K.

Abstract

This is a case report of a patient with bilateral cholesterol granuloma of the petrous apex, who presented with unilateral symptoms. Initially suspected as having a dermoid cyst, he underwent posterior fossa exploration, drainage and biopsy. Symptoms recurred one year later and subcochlear drainage of the petrous apex cyst was successfully performed. Follow-up for over 18 months shows no clinical nor imaging signs of recurrence.

A MEDLINE literature search was carried out and relevant paper publications reviewed. Case presentation including initial, pre- and post-operative imaging is presented. This is followed by discussion of current concepts on the presentation and management of large cholesterol cysts of the petrous apex.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)