Tandon Swati, Singh Satinder, Sharma Shalabh, Lahiri Asish K
Department of Otorhinolaryngology, Sir Ganga Ram Hospital, Delhi, India.
Deputy Director, Cochlear Implant Services, Sir Ganga Ram Hospital Delhi, India.
Iran J Otorhinolaryngol. 2016 May;28(86):221-6.
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.
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.
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.
耳蜗和迷路的先天性异常可能与脑膜炎以及不同程度的听力损失或耳聋有关。尽管使用了抗生素，脑膜炎仍然是一种危及生命的并发症。
我们报告了一例人工耳蜗植入儿童的复发性脑膜炎病例，该儿童双侧前庭蜗畸形，因镫骨足板瘘管导致中耳炎发作。鞘内注射荧光素用于确定渗漏部位。
复发性脑膜炎可能提示存在免疫或解剖学异常以及慢性脑膜旁感染。在其他检查无法确定脑脊液（CSF）渗漏部位的患者中，术中使用鞘内荧光素是一种理想的检查工具。
