Cerebrospinal fluid leak with recurrent meningitis following tonsillectomy.
The authors report an unusual case of bilateral large petrous apex cephaloceles in a 14-year-old boy with a history of recurrent meningitis. Although these lesions are rare and usually asymptomatic, surgical correction is recommended if they are associated with a persistent CSF leak. In this patient, the extensive bilateral cranial defects were not adequately treated by an intracranial approach alone. Repair of a defect in the posterior pharyngeal wall, the site of a prior tonsillectomy, ultimately resulted in repair of the CSF fistula.
Hervey-Jumper
Shawn L
SL
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan 48109-5338, USA.
Ghori
Ahmer K
AK
Quint
Douglas J
DJ
Marentette
Lawrence J
LJ
Maher
Cormac O
CO
D000293:Adolescent; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004677:Encephalocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010579:Petrous Bone / Q000002:abnormalities*; D012008:Recurrence; D014068:Tonsillectomy / Q000009:adverse effects*