Recurrent meningitis associated with a petrous apex cephalocele.
We present the case of a 6-year-old girl with recurrent bacterial meningitis and cerebrospinal fluid (CSF) rhinorrhea associated with a petrous apex cephalocele (PAC). We diagnosed her by means of three-dimensional computed tomography (CT) and heavily T2-weighted magnetic resonance imaging (MRI). Petrous apex cephaloceles are usually an asymptomatic incidental finding in adults; however, they should be considered as a possible cause of CSF rhinorrhea, otorrhea, and recurrent meningitis in children.
Motojima
Toshino
T
Department of Pediatrics, Graduate School of Medicine, Chiba University, Japan. toshino@cocoa.ocn.ne.jp
Fujii
Katsunori
K
Ishiwada
Naruhiko
N
Takanashi
Jun-ichi
J
Numata
Osamu
O
Uchino
Yoshio
Y
Yamakami
Iwao
I
Kohno
Yoichi
Y
D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D002648:Child; D004677:Encephalocele / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008586:Meningitis, Pneumococcal / Q000209:etiology*; D010579:Petrous Bone / Q000002:abnormalities* / Q000601:surgery; D012008:Recurrence