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Spontaneous resolution of cerebrospinal fluid otorrhoea in a patient with a Hyrtl's fissure

Published online by Cambridge University Press:  05 August 2015

R Brar ,
A Vijendren ,
M Salam  and
G Picken
R Brar*
Affiliation:
Department of ENT, Ipswich Hospital Trust, UK
A Vijendren
Affiliation:
Department of ENT, Ipswich Hospital Trust, UK
M Salam
Affiliation:
Department of ENT, Ipswich Hospital Trust, UK
G Picken
Affiliation:
Department of Radiology, Ipswich Hospital Trust, UK
*
Address for correspondence: Dr Ravinder Brar, Department of ENT, Ipswich Hospital Trust, Heath Road, Ipswich IP4 5PD, UK E-mail: [email protected]
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Abstract

Objective:

This paper reports a rare case of cerebrospinal fluid leak due to a Hyrtl's fissure and discusses the non-operative management of the case.

Background and case report:

Cerebrospinal fluid otorrhoea is a rare phenomenon arising from an abnormal communicating tract between the subarachnoid space and middle ear. Affected patients are at a higher risk of developing meningitis and other neuro-otological complications. There are four common congenital causes of cerebrospinal fluid otorrhoea in the region of a normal labyrinth. This paper describes a case of cerebrospinal fluid in the middle ear resulting from a Hyrtl's fissure, which resolved spontaneously.

Conclusion:

A literature search indicated this to be the first case with such a resolution without the need for any intervention.

Keywords

Congenital FissureCerebrospinal Fluid OtorrheaEar Diseases
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 8 , August 2015 , pp. 817 - 819
Copyright
Copyright © JLO (1984) Limited 2015 

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