Brain herniation into the middle ear following temporal bone fracture.

Abstract:

:Otorrhea of leaked cerebrospinal fluid and meningitis in a 33-year-old male originated from an encephalic herniation into the middle ear following traumatic temporal bone fracture. CT demonstrated a mixed-type fracture consisting of a longitudinal fracture and a posterior oblique fracture of the left temporal bone. The left tegmen tympani was broken into a bellows-like shape and a bone splinter from it had stuck in the epitympanum at the level of the incus body. Surgery via a middle cranial fossa approach confirmed penetration of the brain tissue between the incus and lateral semicircular canal. The diagnosis and management of this condition are discussed in the context of a literature review.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Nishiike S,Miyao Y,Gouda S,Shimada N,Nagai M,Nakagawa A,Konishi M,Sakata Y

doi

10.1080/00016480510029266

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

902-5

issue

8

eissn

0001-6489

issn

1651-2251

journal_volume

125

pub_type

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