Temporal meningiomas presenting as chronic otitis media.
Two cases of temporal bone meningiomas presenting as chronic drainage ears are presented. One case was indicated by computer tomographic scan at the time of initial surgery to be limited to the middle ear, but recurred 9 months later with extensive cerebellopontine angle extension and cranial nerve palsies. The tumor in the second case extended from the middle ear to the cavernous sinus, with extensive intradural involvement. Meningiomas involving the middle ear must be considered to have intracranial extension, and magnetic resonance is the imaging study of choice.
Civantos
F
F
Department of Otolaryngology-Head and Neck Surgery, Humana Hospital-Michael Reese, University of Illinois, College of Medicine at Chicago 60616.
Ferguson
L R
LR
Hemmati
M
M
Gruber
B
B
D003937:Diagnosis, Differential; D004428:Ear Neoplasms / Q000175:diagnosis* / Q000473:pathology; D004432:Ear, Middle / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008579:Meningioma / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000175:diagnosis* / Q000601:surgery; D013701:Temporal Bone / Q000473:pathology*; D014057:Tomography, X-Ray Computed