Hypertrophic chronic pachymeningitis associated with chronic otitis media and mastoiditis

Sho Kanzaki, Yasuhiro Inoue, Takahisa Watabe, Kaoru Ogawa

研究成果: Article査読

9 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)155-159
ページ数5
ジャーナルAuris Nasus Larynx
31
2
DOI
出版ステータスPublished - 2004 6月

ASJC Scopus subject areas

  • 外科
  • 耳鼻咽喉科学

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