Kato S, Seki H, Suzuki S, Sanjo M, Kobayashi T, Kusakari J
Department of Neurosurgery, Kesennuma Public Hospital.
No Shinkei Geka. 1988 Nov;16(12):1395-8.
A case of inner ear anomaly (Mondini dysplasia) associated with recurrent meningitis found in a 10 year-old boy is reported. The patient had suffered from bacterial meningitis and CSF rhinorrhea five times in 7 years. The origin of CSF leakage had not been detected by bifrontal craniotomy or trans-sphenoidal operation. In May 1985, the dysplasia of the temporal bone and the inner ear had been pointed out by an otologist. And he underwent operations a few times for closing the CSF fistula at the floor of the internal auditory meatus by translabyrinthine approaches, but in vain. On the 7th of November 1985, under the control of intracranial pressure by continuous ventricular drainage, re-operation was performed. Packing the internal auditory meatus with several pieces of muscle and gelatine sponge stopped the CSF leakage and the recurrence of meningitis.
报告了一例10岁男孩患有内耳异常（Mondini发育不全）并伴有复发性脑膜炎的病例。该患者在7年内曾5次患细菌性脑膜炎和脑脊液鼻漏。经双额开颅手术或经蝶窦手术均未检测到脑脊液漏的来源。1985年5月，一名耳科医生指出颞骨和内耳发育不全。他曾多次通过迷路后入路手术封闭内耳道底部的脑脊液瘘，但均未成功。1985年11月7日，在持续脑室引流控制颅内压的情况下进行了再次手术。用几块肌肉和明胶海绵填充内耳道止住了脑脊液漏和脑膜炎的复发。
