Keereweer S, Metselaar R M, Dammers R, Hardillo J A U
Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
ORL J Otorhinolaryngol Relat Spec. 2011;73(5):287-90. doi: 10.1159/000330278. Epub 2011 Sep 1.
Chronic serous otitis media is a common problem in the daily routine of the otorhinolaryngologist. In the majority of cases, the cause is related to dysfunction of the eustachian tube due to viral or bacterial rhinitis and occasionally to nasopharyngeal tumors. We report a case of a patient presenting with chronic serous otitis media that was resistant to conventional therapy. MRI with gadolinium finally revealed that the middle ear fluid was caused by leakage of cerebrospinal fluid (CSF) due to bone destruction by a temporal meningioma. The CSF leakage was closed by surgery. Histopathology confirmed meningioma in the temporal bone.
慢性浆液性中耳炎是耳鼻喉科日常诊疗中常见的问题。在大多数情况下，病因与病毒或细菌性鼻炎导致的咽鼓管功能障碍有关，偶尔也与鼻咽部肿瘤有关。我们报告一例慢性浆液性中耳炎患者，其对传统治疗耐药。钆增强磁共振成像最终显示，中耳积液是由颞叶脑膜瘤导致的骨质破坏引起的脑脊液漏所致。脑脊液漏通过手术得以封闭。组织病理学证实颞骨存在脑膜瘤。
