gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Chronic mastoiditis, acute bacterial meningitis and pontine infarction as late complications of a temporal bone fracture with cerebrospinal fluid fistula

Meeting Abstract

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  • corresponding author Dorothea Keymling - HNO-Klinik/ AMEOS Klinikum St. Salvator Halberstadt, Halberstadt, Germany
  • Wolfram Pethe - HNO-Klinik/ AMEOS Klinikum St. Salvator Halberstadt, Halberstadt, Germany
  • Klaus Begall - HNO-Klinik/ AMEOS Klinikum St. Salvator Halberstadt, Halberstadt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno88

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno88.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Keymling et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Persistent liquorrhoea is a rare complication of temporal bone fractures. These patients are at high risk of developing ascending intracranial infections.

We report the case of a 42 year old foreign man who developed oto- and rhinoliquorrhoea due to a temporal bone fracture from 1990 which had repeatedly been tried to stop by plastic surgery of the external auditory canal. 15 years later the patient was now admittet to our hospital, being unconcious after having felt increasing pain of the right ear for several days. CT scan showed an old fracture of the temporal bone with a cloudy right mastoid and inflammatory destruction of the temporal skull base.

Mastoidectomy was immediately performed and revealed an acutely exacerbated chronic inflammatory process through a defect of the temporal skull base. Antibiotics were given locally and systemically. By this, the inflammation improved rapidly. In the course of disease the patient developed pontine infarction on the left side. After spontaneous regression of the pathology the patient could be released into his home country for further treatment. Neurosurgical repair of the fistula after complete healing of meningitis was strongly recommended.

The risk of life threatening meningitis by chronic cerebrospinal leakage must not be underestimated and should receive sufficient surgical treatment, if necessary in collaboration with a neurosurgeon.


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