Hypertrophic chronic pachymeningitis associated with chronic otitis media and mastoiditis

Sho Kanzaki, Yasuhiro Inoue, Takahisa Watabe, Kaoru Ogawa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We describe the case history of a 70-year-old female patient presenting with bilateral hearing disturbance, facial paralysis, and vertigo. Radiological tests of temporal bone revealed soft tissue in the mastoid and tympanic cavities, and T1 weighted MRI revealed prominent Gd enhancement of the middle skull basal meninges. Middle ear inflammation appeared to induce pachymeningitis and to exacerbate associated symptoms, leading to a decline in the patient's overall condition. Bilateral mastoidectomies were effective in improving her general condition. Her hearing improved only on the right side because ossiculoplasty was performed only on that side. Her facial movement progressively improved and pachymeningitis diminished over time. We speculate that removal of the infectious granulation within the middle ears and mastoids ameliorated the acute inflammation. The etiology remains unknown in this case.

Original languageEnglish
Pages (from-to)155-159
Number of pages5
JournalAuris Nasus Larynx
Volume31
Issue number2
DOIs
Publication statusPublished - 2004 Jun

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Mastoiditis
Mastoid
Otitis Media
Middle Ear
Meningitis
Hearing
Meninges
Temporal Bone
Facial Paralysis
Vertigo
Skull
Inflammation

Keywords

  • Chronic hypertrophic pachymeningitis
  • Inflammation of middle ear
  • Mastoiditis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Hypertrophic chronic pachymeningitis associated with chronic otitis media and mastoiditis. / Kanzaki, Sho; Inoue, Yasuhiro; Watabe, Takahisa; Ogawa, Kaoru.

In: Auris Nasus Larynx, Vol. 31, No. 2, 06.2004, p. 155-159.

Research output: Contribution to journalArticle

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