title: An unusual case of dysphasia and seizures.
abstract: Defects in the tegmen tympani can have serious consequences such as intracranial infection and seizures, however, they can be difficult to diagnose due to their subtlety on cross-sectional imaging and the non-specific way in which they can present. Repair of such defects can be undertaken via a middle fossa or transmastoid approach; both, however, usually necessitate a general anaesthetic and, furthermore, middle cranial fossa surgery carries the risk of epilepsy while transmastoid repair can result in the loss of hearing. We present a novel method of repair in a patient who would otherwise have been managed conservatively.
authors.affiliation: Department of ENT, Stepping Hill Hospital, Stockport, Cheshire, UK.
authors.forename: Mark Robert
authors.initials: MR
authors.lastname: Williams
authors.affiliation: Department of Audiovestibular Medicine, Central Manchester University Hospitals, Manchester, UK.
authors.forename: Anne
authors.initials: A
authors.lastname: Easson
authors.affiliation: Department of ENT, Stepping Hill Hospital, Stockport, Cheshire, UK.
authors.forename: Sadie
authors.initials: S
authors.lastname: Khwaja
authors.affiliation: Department of ENT, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Will
authors.initials: W
authors.lastname: Aucott
mesh_terms: D001037:Aphasia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001847:Bone Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D035301:Cranial Fossa, Middle / Q000601:surgery; D004677:Encephalocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008416:Mastoid / Q000601:surgery; D008588:Meningocele / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D012640:Seizures / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013701:Temporal Bone / Q000473:pathology* / Q000601:surgery; D013702:Temporal Lobe / Q000473:pathology* / Q000601:surgery