title: Use of Intrathecal Fluorescein in Recurrent Meningitis after Cochlear Implantation.
abstract: BACKGROUND
  Congenital anomalies of the cochlea and labyrinth can be associated with meningitis and varying degrees of hearing loss or deafness. Despite antibiotics, meningitis remains a life threatening complication.
  
  
  METHODS
  We report a case of recurrent meningitis following episodes of otitis media in a cochlear implantee child with bilateral vestibulocochlear malformation, due to fistula in the stapes footplate. Intrathecal fluorescin was used to identify the leak site.
  
  
  CONCLUSIONS
  Recurrent meningitis can indicate for possible immunological or anatomical abnormalities as well for chronic parameningeal infections. Intraoperative use of intrathecal fluorescin is an ideal investigative tool to demonstrate cerebrospinal fluid (CSF) leak site in patients in whom other investigations fail to do so.
authors.affiliation: Department of Otorhinolaryngology, Sir Ganga Ram Hospital, Delhi, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Tandon
authors.affiliation: Department of Otorhinolaryngology, Sir Ganga Ram Hospital, Delhi, India.
authors.forename: Satinder
authors.initials: S
authors.lastname: Singh
authors.affiliation: Deputy Director, Cochlear Implant Services, Sir Ganga Ram Hospital Delhi, India.
authors.forename: Shalabh
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Deputy Director, Cochlear Implant Services, Sir Ganga Ram Hospital Delhi, India.
authors.forename: Asish K
authors.initials: AK
authors.lastname: Lahiri
keywords: Cochlear implant; Inner ear malformations; Intrathecal fluorescin; Recurrent meningitis