MacRae D L, Ruby R R
Department of Otolaryngology, University of Western Ontario, London, Canada.
J Otolaryngol. 1990 Jun;19(3):222-5.
All young children treated for meningitis should have post-treatment evoked potential audiometry. If neurosensory hearing loss is identified, the clinician should be alerted to the possibility of a perilymph fistula as the cause of the meningitis. Radiology of the inner ear and possibly exploratory tympanotomy may be necessary to rule out a perilymph fistula. Two young children with meningitis secondary to perilymph fistula are presented to illustrate the problems of diagnosis and management.
所有接受脑膜炎治疗的幼儿都应在治疗后进行诱发电位听力测定。如果发现有神经性听力损失,临床医生应警惕外淋巴瘘作为脑膜炎病因的可能性。可能需要进行内耳放射检查以及探索性鼓室切开术以排除外淋巴瘘。本文介绍了两名因外淋巴瘘继发脑膜炎的幼儿,以说明诊断和管理方面的问题。