만성 이루 환자에서 발견된 유양동으로의 소뇌 탈출
Cerebellar Hernia in a Patient with Chronic Otorrhea
0
조회
0
다운로드
1
인용
0
참고문헌
초록
Brain hernia into the middle ear cavity is quite a rare entity which is often caused by chronic otitis media with cholesteatoma and surgical complications. Other unusual factors such as extension of the intracranial meningioma, primary temporal bone meningioma and aberrant arachnoid granulation can also cause hernia of brain tissue. Brain hernia can be diagnosed through temporal bone computed tomography (TBCT) and brain magnetic resonance image (MRI), which show the location of bony defect and similar signal intensity between the herniated tissue and brain. We present a 50-year old female patient, who suffered from otorrhea 8 years ago；otorrhear disappeared 4 years ago and rhinorrhea 1 years ago. She had not have any history of chronic otitis media and otologic surgery. The herniated cerebellum was diagnosed through the TBCT and brain MRI. She was successfully cured after cerebellar reduction operation without any postoperative complications.
Abstract
Brain hernia into the middle ear cavity is quite a rare entity which is often caused by chronic otitis media with cholesteatoma and surgical complications. Other unusual factors such as extension of the intracranial meningioma, primary temporal bone meningioma and aberrant arachnoid granulation can also cause hernia of brain tissue. Brain hernia can be diagnosed through temporal bone computed tomography (TBCT) and brain magnetic resonance image (MRI), which show the location of bony defect and similar signal intensity between the herniated tissue and brain. We present a 50-year old female patient, who suffered from otorrhea 8 years ago；otorrhear disappeared 4 years ago and rhinorrhea 1 years ago. She had not have any history of chronic otitis media and otologic surgery. The herniated cerebellum was diagnosed through the TBCT and brain MRI. She was successfully cured after cerebellar reduction operation without any postoperative complications.
참고문헌 (19)
- Osma U, "The complications of chronic otitis media: Report of 93 cases", J Laryngol Otol, 114, pp.97~100 (2000)
- Mosnier I, "Brain herniation and chronic otitis media: Diagnosis and surgical management", Clin Otolaryngol, 25(5), pp.385~391 (2000)
- Cosme E, "Jose IL. Teaching case: Temporal bone secretory meningioma presenting as a middle ear mass", Pathol Res Pract, 202, pp.481~484 (2006)
- Roberto B, "Imaging case of the month: Temporal bone brain herniation", Otol Neurotol, 27, pp.576~577 (2006)
- Moore GF, "Potential complications of unrecognized cerebrospinal fluid leaks secondary to mastoid surgery", Am J Otol, 5(4), pp.317~323 (1984)
- Alberti PW, "Cerebrospinal otorrhea and chronic ear disease", J Laryngol Otol, 75, pp.123~135 (1961)
- Sterkers JM, "Cholesteatoma and bone. Petrous extensions", Acta Otorhinolaryngol Belg, 34(1), pp.85~97 (1980)
- Schuknecht HF, "Anatomy of the temporal bone with surgical implications" (1986), Lea & Febiger
- Park KH, "A case of brain hernia in mastoid cavity", Korean J Otolaryngol-Head Neck Surg, 41(8), pp.1078~1081 (1998)
- Kim YD, "A case if cerebral hernia in mastoid cavity", Korean J Otolaryngol-Head Neck Surg, 37(5), pp.1082~1086 (1994)
- 허경욱, "경유양돌기 및 중두개와 접근법으로 치료한 의인성 측두골 뇌류", 대한이비인후과학회지 두경부외과학, 50(8), pp.702~706 (2007), 대한이비인후과학회
- 박시영, "측두골 외상후 진주종성 중이염으로 오인된 중이강내 뇌허니아 1예", 대한이비인후과학회지 두경부외과학, 51(1), pp.84~87 (2008), 대한이비인후과학회
- Aristegui M, "Meningoencephalic herniation into the middle ear: A report of 27 cases", Laryngoscope, 105(5), pp.512~518 (1995)
- Neely JG, "Diagnosis and treatment of iatrogenic cerebrospinal fluid leak and brain herniation during or following mastoidectomy", Laryngoscope, 95(11), pp.1299~1300 (1985)
- Jackson CG, "von Doersten PG, Hampf CR, et al. Brain herniation into the middle ear and mastoid: Concepts in diagnosis and surgical management", Am J Otol, 18(2), pp.198~206 (1997)
- Brown NE, "Diagnosis and management of spontaneous cerebrospinal fluid-middle ear effusion and otorrhea", Laryngoscope, 114(5), pp.800~805 (2004)
- Uri N, "Congenital middle ear encephalocele initially seen with facial paresis", Head and Neck, 13(1), pp.62~67 (1991)
- Ramdsen RT, "Endaural cerebral hernia", J Laryngol Otol, 99(7), pp.643~651 (1985)
- Gacek RR, "Arachnoid granulation cerebrospinal fluid otorrhea", Ann Otol Rhinol Laryngol, 99(11), pp.854~662 (1990)