Danish Shabbar F, Zager Eric L
University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Neurosurgery. 2005 Mar;56(3):E621; discussion E621.
Cervical spine meningiomas have not been reported to present as otalgia. It is important to include otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded.
A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3.
The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms.
This case illustrates the importance of aggressive evaluation of otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
颈椎脑膜瘤未曾有过表现为耳痛的报道。将耳痛纳入鉴别诊断及检查很重要，尤其是在已排除更常见的耳痛病因时。
一名66岁女性因严重耳痛就诊于她的初级保健医生。她接受了常规诊断检查，最终被转诊至神经科医生处。保守治疗失败后，患者接受了颈椎磁共振成像检查，结果显示一个巨大的脑膜瘤包绕C2 - C3。
患者接受了颈椎椎板切除术及肿瘤全切术。术后她的症状立即得到缓解。
本病例说明了当常规诊断研究无定论时，积极评估耳痛的重要性。颈椎脑膜瘤具有显著的潜在发病率，应在诊断过程早期予以排除。
