RECURRENT MENINGITIS IN CHILDREN DUE TO INNER-EAR ABNORMALITIES
RECURRENT MENINGITIS IN CHILDREN DUE TO INNER-EAR ABNORMALITIES
复制标题
DOI：
10.1017/s002221510015666x
复制
发表时间：
1989-05-01
影响因子：
1.7
通讯作者：
EVANS, JNG
中科院分区：
文献类型：
--
作者：
QUINEY, RE;MITCHELL, DB;EVANS, JNG
儿童复发性脑膜炎不仅是一种潜在的危及生命的疾病，而且经常使儿童遭受多次住院和多次侵入性调查的创伤，以试图找到根本原因。脑脊液鼻漏或耳漏的症状和体征在这些患者中并不常见。幼儿单侧耳聋可能难以诊断。全耳鼻喉科检查可能是正常的。我们报告了7例儿童复发性脑膜炎，其中内耳异常仅显示为感染的进入部位，通过下睫状体断层扫描或颞骨高分辨率CT扫描。随后的鼓室切开术证实脑脊液渗漏部位多数为卵圆窗；用肌肉填充前庭可以阻止这些患者的进一步发作。
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.