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Recurrent meningitis associated with meningioma of the mastoid cavity

Published online by Cambridge University Press:  29 June 2007

R. J. Kelleher*
Affiliation:
Department of Otolaryngology, The Royal Infirmary, Edinburgh.
J. A. M. Murray
Affiliation:
Department of Otolaryngology, The Royal Infirmary, Edinburgh.
P. D. Welsby
Affiliation:
Department of Medicine, The City Hospital, Edinburgh.
*
Dr R. J. Kelleher, F.R.C.S., Department of Laryngology, The Royal Infirmary, Edinburgh EH3 9YW.

Abstract

A 53-year-old female patient who presented with recurrent meningitis as a result of a meningioma, is reported. The meningioma was found to be wholly contained within the left mastoid antrum. To our knowledge this is the first reported case of a meningioma localised to the mastoid antrum. The patient had been assessed in the ENT department on two separate occasions, 17 years and 19 years previously for nebulous symptoms related to the left ear which had cleared spontaneously. Following a second episode of pyogenic meningitis, both of which were associated with aural symptoms, radiological examination suggested an intramastoid pathology which prompted mastoid exploration. Histological examination of the mass confined to the mastoid antum provided the diagnosis of meningioma. There was no clinical or radiological evidence of extratemporal spread of tumour.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1989

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References

Brydoy, B. and Ellekjaer, E. F. (1972) Otitic meningitis; a 5-year study. Journal of Laryngology and Otology, 86: 871880.CrossRefGoogle Scholar
Deweese, D. D. and Everts, E. C. (1972) Primary intratympanic meningioma. Archives of Otolaryngology, 96: 6266.CrossRefGoogle ScholarPubMed
Granich, M. S., Pilch, B. Z. and Goodman, M. L. (1983) Meningiomas presenting in the paranasal sinuses or temporal bone. Head and Neck Surgery, 5: 319328.CrossRefGoogle ScholarPubMed
Parisier, S. C., Som, P. M., Shugar, J. M. A. and Marovitz, W. F. (1978) The evaluation of middle ear meningiomas using computerised axial tomography. Laryngoscope, 88: 11701177.CrossRefGoogle Scholar
Petty, A. M., Kun, L. E. and Meyer, G. A. (1985) Radiation therapy for incompletely resected meningioma. Journal of Neurosurgery, 62: 502507.CrossRefGoogle Scholar
Proctor, B. and Lindsay, J. R. (1947) Tumours involving the petrous pyramid of the temporal bone. Archives of Otolaryngology, 46: 180194.CrossRefGoogle ScholarPubMed
Reitz, D. R., Ford, C. M., Kurtycz, D. F., Brandenburg, J. H. and Hasez, G. R. (1983) Significance of apparent intratympanic meningiomas. Laryngoscope, 93: 13971404.CrossRefGoogle Scholar
Salama, N. and Stafford, N. (1982) Meningiomas presenting in the middle ear. Laryngoscope, 92: 9297.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1971) The ear in pneumococcal meningitis. Annals of Otology, Rhinology and Laryngology, 80: 389–99.CrossRefGoogle ScholarPubMed
Sterkers, J. M., Perrin, A., Kitzis, M. D. and Corlieu, P. (1984) Meningitis in otologic surgery of acoustic neurinoma. Annales d'Otolaryngologie et de Chirurgie Cervico-faciale (Paris), 101: 1519.Google ScholarPubMed