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蒙迪尼发育异常:自发性脑脊液耳漏。治疗新视角。

Mondini dysplasia: spontaneous cerebrospinal fluid otorrhea. New perspectives in management.

作者信息

Wilson J T, Leivy S W, Sofferman R A, Wald S L

机构信息

Division of Neurological Surgery, Medical Center Hospital of Vermont, Burlington.

出版信息

Pediatr Neurosurg. 1990;16(4-5):260-4. doi: 10.1159/000120538.

DOI:10.1159/000120538
PMID:2135198
Abstract

The Mondini dysplasia represents a developmental arrest during the embryogenesis of the inner ear. The malformation, commonly associated with deafness, is frequently heralded by meningitis secondary to communication of the middle ear with the subarachnoid space. Early recognition and successful repair of the CSF leak is important to avoid the sequelae of repeated episodes of meningitis. We believe the addition of CSF diversion in the form of a lumbar drain during and after surgery will result in improved success.

摘要

Mondini发育异常代表内耳胚胎发生过程中的发育停滞。这种畸形通常与耳聋相关,常因中耳与蛛网膜下腔相通继发脑膜炎而被发现。早期识别并成功修复脑脊液漏对于避免反复发生脑膜炎的后遗症很重要。我们认为在手术期间及术后增加腰大池引流形式的脑脊液分流将提高成功率。

相似文献

1
Mondini dysplasia: spontaneous cerebrospinal fluid otorrhea. New perspectives in management.蒙迪尼发育异常:自发性脑脊液耳漏。治疗新视角。
Pediatr Neurosurg. 1990;16(4-5):260-4. doi: 10.1159/000120538.
2
Mondini dysplasia and pyogenic meningitis.
Indian J Pediatr. 2004 Jul;71(7):655-7. doi: 10.1007/BF02724130.
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[Surgical management of Mondini dysplasia with cerebrospinal fluid leakage].[伴有脑脊液漏的Mondini发育不全的外科治疗]
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Jan;17(1):4-5.
4
Cerebrospinal fluid otorrhea secondary to congenital inner ear dysplasia: diagnosis and management of 18 cases.先天性内耳发育不良致脑脊液耳漏 18 例诊治分析
J Zhejiang Univ Sci B. 2019;20(2):156-163. doi: 10.1631/jzus.B1800224.
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[Malformation of the facial canal, meningitis and cerebrospinal otorrhea].
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Recurrent meningitis secondary to idiopathic oval window CSF leak.继发于特发性卵圆窗脑脊液漏的复发性脑膜炎
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Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia.
Neurosurgery. 1982 Sep;11(3):356-62. doi: 10.1227/00006123-198209000-00004.
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Congenital cerebrospinal fluid fistulae of the petrous temporal bone.先天性颞骨岩部脑脊液瘘
Clin Otolaryngol Allied Sci. 1986 Apr;11(2):79-92. doi: 10.1111/j.1365-2273.1986.tb00112.x.
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Cerebrospinal fluid otorrhea and recurrent bacterial meningitis in a pediatric case with Mondini dysplasia.一名患有Mondini发育不全的儿科病例出现脑脊液耳漏和复发性细菌性脑膜炎。
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Cerebrospinal fluid otorrhea and pseudomonal meningitis in a child with Mondini dysplasia: case report.一名患有Mondini发育不全儿童的脑脊液耳漏和铜绿假单胞菌性脑膜炎:病例报告
Childs Nerv Syst. 2015 Sep;31(9):1613-6. doi: 10.1007/s00381-015-2836-x. Epub 2015 Jul 23.

引用本文的文献

1
Imaging of congenital anomalies and acquired lesions of the inner ear.内耳先天性异常与后天性病变的影像学检查
Eur Radiol. 2008 Feb;18(2):319-30. doi: 10.1007/s00330-007-0759-y. Epub 2007 Oct 10.
2
[Mondini dysplasia: traumatic cerebrospinal fluid otorrhea with meningitis].
HNO. 2006 Aug;54(8):624-7. doi: 10.1007/s00106-005-1338-7.
3
X-linked progressive mixed deafness: a new microdeletion that involves a more proximal region in Xq21.X连锁进行性混合性耳聋:一种涉及Xq21更近端区域的新微缺失。
Am J Hum Genet. 1995 Jan;56(1):224-30.