Ryczko B, Brodsky L, Stanievich J F, Pordell R
Department of Otolaryngology, State University of New York at Buffalo, School of Medicine, Children's Hospital of Buffalo.
Int J Pediatr Otorhinolaryngol. 1988 Dec;16(3):245-51. doi: 10.1016/0165-5876(88)90036-5.
Spontaneous (congenital) cerebrospinal fluid (CSF) otorrhea is a rare occurrence with less than 100 cases being reported in the literature. In infants and children, it may present as otitis media with effusion. A 4-month-old infant, who was diagnosed with severe to profound sensorineural hearing impairment and spontaneous CSF otorrhea, initially presented with otitis media with effusion. The patient presentation, diagnostic dilemmas and pathophysiology of this rare but interesting problem are discussed.
自发性(先天性)脑脊液耳漏是一种罕见的病症,文献报道的病例不足100例。在婴幼儿中,它可能表现为分泌性中耳炎。一名4个月大的婴儿,被诊断为重度至极重度感音神经性听力损失和自发性脑脊液耳漏,最初表现为分泌性中耳炎。本文讨论了该罕见但有趣问题的患者表现、诊断困境及病理生理学。