Clarke Jamie E, Manov John, Ndolo Josephine M, Githu Tangayi, Saigal Khushi, Saigal Gaurav
From the Department of Radiology (J.E.C., J.M., G.S.), Jackson Memorial Hospital, Miami, Florida.
Department of Pediatric Radiology (J.M.N., T.G.), Radiology of Huntsville, Huntsville, Alabama.
AJNR Am J Neuroradiol. 2025 Mar 4;46(3):580-582. doi: 10.3174/ajnr.A8525.
Hyrtl fissure is a rare cause of congenital CSF otorrhea in infants, with only a few cases previously described in the English literature. Given the predisposition to repeated ear and intracranial infections, identification of this bony anomaly is critical in the diagnosis and management of recurrent meningitis or otitis media in a child, especially in the presence of CSF otorrhea. We describe 3 cases of this entity with a specific focus on the embryologic basis of the etiology and conventional and advanced imaging features of this unique entity.
希尔特尔裂是婴儿先天性脑脊液耳漏的罕见原因，英文文献中此前仅描述过少数病例。鉴于易反复发生耳部和颅内感染，识别这种骨异常对于儿童复发性脑膜炎或中耳炎的诊断和管理至关重要，尤其是在存在脑脊液耳漏的情况下。我们描述了3例该病症，特别关注其病因的胚胎学基础以及这一独特病症的传统和先进影像学特征。
