Recurrent meningitis in children due to inner ear abnormalities

Recurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma of repeated hospital admissions and multiple and invasive investigations to try and find an underlying cause. Symptoms and signs of CSF rhinorrhoea or otorrhoea are infre...

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Bibliographic Details
Published in:Journal of laryngology and otology 1989-05, Vol.103 (5), p.473-480
Main Authors: Quiney, R. E., Mitchell, D. B., Djazeri, B., Evans, J. N. G.
Format: Article
Language:English
Subjects:
Cerebrospinal Fluid Otorrhea - complications
Child
Child, Preschool
Ear Diseases - complications
Ear, Inner - abnormalities
Ear, Inner - diagnostic imaging
Female
Fistula - complications
Humans
Infant
Main Articles
Male
Meningitis - diagnostic imaging
Meningitis - etiology
Recurrence
Temporal Bone - diagnostic imaging
Tomography
Tomography, X-Ray Computed
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Summary:Recurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma of repeated hospital admissions and multiple and invasive investigations to try and find an underlying cause. Symptoms and signs of CSF rhinorrhoea or otorrhoea are infrequent in these patients. Unilateral deafness may be difficult to diagnose in the young child. Full ENT examination may be normal. We report seven cases of children with recurrent meningitis in whom inner ear abnormalities were only indicated as the site of entry of infection by hypocycloidal tomography or high resolution CT scanning of the temporal bone. Subsequent tympanotomy confirmed the site of the CSF leak as the oval window in the majority of cases; packing the vestibule with muscle halted further attacks in these patients.
ISSN:0022-2151
1748-5460
DOI:10.1017/S002221510015666X