Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision

Detalhes bibliográficos
Autor(a) principal: Costa, Eurico
Data de Publicação: 2011
Outros Autores: Guimarães, Ana, Freire, Filipe, Gabão Veiga, V.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.34631/sporl.203
Resumo: The authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect.
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spelling Spontaneous cerebrospinal fluid otorrhea – Case report and literature revisionFístulas espontâneas de líquido cefalorraquidiano do ouvido médio – A propósito de um caso clínico.spontaneous fistulaecerebrospinal fluidmiddle earfístulas espontâneaslíquido cefalorraquidianoouvido médioThe authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect.Relata-se o caso clínico de mulher de 66 anos, referenciada à consulta de Otorrinolaringologia do Hospital Prof. Doutor Fernando Fonseca por acufeno e hipoacusia, bilaterais, mais intensos à direita, com vários anos de evolução mas com agravamento nos últimos dois. A observação e exames audiométricos eram sugestivos de derrame no ouvido médio, com fossas nasais e rinofaringe sem alterações. Foi submetida a miringotomia com intenção de colocação de tubo de ventilação transtimpânico. Intra-operatoriamente constatou-se a drenagem abundante de líquido límpido e incolor tipo “água de rocha”, que rapidamente preenchia o canal auditivo externo.Foi colhida amostra do líquido para análise bioquímica, incluindo β2-transferrina e tamponou-se o canal auditivo externo. O resultado foi compatível com líquido cefalorraquidiano. Realizou tomografia computorizada de ouvidos e ressonância magnética de crânio, verificandose erosão inequívoca do tegmen á direita, sem sinais de meningoencefalocelo. Foi proposta correcção cirúrgica da fístula.Os autores propõem-se realizar uma breve revisão bibliográfica desta patologia.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2011-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.203https://doi.org/10.34631/sporl.203Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 49 No. 4 (2011): Dezembro; 299-303Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 49 Núm. 4 (2011): Dezembro; 299-303Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 49 N.º 4 (2011): Dezembro; 299-3032184-6499reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2540https://journalsporl.com/index.php/sporl/article/view/2540/545Costa, EuricoGuimarães, AnaFreire, FilipeGabão Veiga, V.info:eu-repo/semantics/openAccess2024-06-06T12:59:02Zoai:journalsporl.com:article/2540Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:53:50.266319Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
Fístulas espontâneas de líquido cefalorraquidiano do ouvido médio – A propósito de um caso clínico.
title Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
spellingShingle Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
Costa, Eurico
spontaneous fistulae
cerebrospinal fluid
middle ear
fístulas espontâneas
líquido cefalorraquidiano
ouvido médio
title_short Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
title_full Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
title_fullStr Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
title_full_unstemmed Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
title_sort Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
author Costa, Eurico
author_facet Costa, Eurico
Guimarães, Ana
Freire, Filipe
Gabão Veiga, V.
author_role author
author2 Guimarães, Ana
Freire, Filipe
Gabão Veiga, V.
author2_role author
author
author
dc.contributor.author.fl_str_mv Costa, Eurico
Guimarães, Ana
Freire, Filipe
Gabão Veiga, V.
dc.subject.por.fl_str_mv spontaneous fistulae
cerebrospinal fluid
middle ear
fístulas espontâneas
líquido cefalorraquidiano
ouvido médio
topic spontaneous fistulae
cerebrospinal fluid
middle ear
fístulas espontâneas
líquido cefalorraquidiano
ouvido médio
description The authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect.
publishDate 2011
dc.date.none.fl_str_mv 2011-12-28
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.203
https://doi.org/10.34631/sporl.203
url https://doi.org/10.34631/sporl.203
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2540
https://journalsporl.com/index.php/sporl/article/view/2540/545
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 49 No. 4 (2011): Dezembro; 299-303
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 49 Núm. 4 (2011): Dezembro; 299-303
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 49 N.º 4 (2011): Dezembro; 299-303
2184-6499
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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