Recurrent meningitis due to a congenital fistula in the stapedial footplate.
A patient with recurrent meningitis had spontaneous CSF leakage from the fistula of the stapedial footplate. The patient was a 7-year-old boy with profuse CSF otorrhea, proved by myringotomy. A roentgenographic examination and computed tomography scan of the temporal bone demonstrated an abnormal bony labyrinth. During the operation, a leak was found at the fistula of the stapedial footplate. Surgical obliteration of the fistula with temporal muscle and fascia has prevented the recurrence of meningitis.
D002558:Cerebrospinal Fluid Otorrhea / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D004429:Ear Ossicles / Q000002:abnormalities*; D004432:Ear, Middle / Q000000981:diagnostic imaging / Q000601:surgery; D005402:Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008586:Meningitis, Pneumococcal / Q000209:etiology*; D011859:Radiography; D012008:Recurrence; D013199:Stapes / Q000002:abnormalities*