Mondini dysplasia and pyogenic meningitis.
Mondini dysplasia with cerebrospinal fluid leak is a rare cause of recurrent pyogenic meningitis in children. We describe an eleven-year-old female child who presented with the fifth recurrent episode of pyogenic meningitis and unilateral sensorineural deafness. Mondini dysplasia of the inner ear with CSF-perilymph fistula was proven on an HRCT of the temporal bone and MRI. Successful operative intervention was undertaken to close the defect. Though rare, Mondini dysplasia should be considered as a cause of recurrent meningitis in children, especially if they have sensorineural deafness.
Department of Pediatrics, Seth G. S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India. milindtullu@yahoo.com
Milind S
MS
Tullu
Shilpa S
SS
Khanna
Jaishree R
JR
Kamat
M V
MV
Kirtane
D002558:Cerebrospinal Fluid Otorrhea / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D003051:Cochlea / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D007758:Ear, Inner / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006801:Humans; D008581:Meningitis / Q000209:etiology*; D012008:Recurrence; D013701:Temporal Bone / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed