Abstract
Mondini dysplasia with cerebrospinal fluid leak is a rare cause of recurrent pyogenic meningitis in children. We describe an eleven-year-old female child who presented with the fifth recurrent episode of pyogenic meningitis and unilateral sensorineural deafness. Mondini dysplasia of the inner ear with CSF-perilymph fistula was proven on an HRCT of the temporal bone and MRI. Successful operative intervention was undertaken to close the defect. Though rare, Mondini dysplasia should be considered as a cause of recurrent meningitis in children, especially if they have sensorineural deafness
References
Muranjan MN, Bharucha BA, Kirtane MV, Deshmukh CT. Mondini dysplasia of the inner ear with CSF leak A rare cause of recurrent meningitis.Indian Pediatr 1999; 36:401–406.
Biggers WP, Neil Howell N, Fischer ND, Himadi GM, Hill C. Congenital ear anomalies associated with otic meningitis.Arch Otolaryngol 1973; 97:399–401.
Stool S, Leeds NE, Shulman K. The syndrome of congenital deafness and otic meningitis: Diagnosis and management.J Pediatr 1967; 71:547–552.
Paparella MM. Mondini’s deafness: A review of histopathology.Ann Otol Rhinol Laryngol 1980; 89 (Suppl 67): 1–10.
Ohtani I, Kano M, Sagawa Y, Ogawa H, Suzuki C. Temporal bone histopathology in trisomy 22.Int J Pediatr Otorhinolaryngol 2001; 59:137–141.
Arellano B, Ramirez Camacho R, Garcia Berrocal JR, Villamar M, del CastilloI, Moreno F. Sensorineural hearing loss and Mondini dysplasia caused by a deletion at locus DFN3.Arch Otolaryngol Head Neck Surg 2000; 126:1065–1069.
Bamiou DE, Savy L, O’Mahoney C, Phelps P, Sirimanna T. Unilateral sensorineural hearing loss and its aetiology in childhood: The contribution of computerised tomography in aetiological diagnosis and management.Int J Pediatr Otorhinolaryngol 1999; 51:91–99.
Cross NC, Stephens SD, Francis M, Hourihan MD, Reardon W. Computed tomography evaluation of the inner ear as a diagnostic, counselling and management strategy in patients with congenital sensorineural hearing impairment.Clin Otolaryngol 1999; 24:235–238.
Suzuki C, Sando I, Fagan JJ, Kamerer DB, Knisely AS. Histopathological features of a cochlear implant and otogenic meningitis in Mondini dysplasia.Arch Otolaryngol Head Neck Surg 1998; 124:462–466.
Turrini M, Orzan E, Gabana M, Genovese E, Arslan E, Fisch U. Cochlear implantation in a bilateral Mondini dysplasia.Scand Audiol Suppl 1997; 46: 78–81.
Louaib D, Francois M, Coderc E, Dieu S, Nathanson M, Narcy P, Gaudelus J. Pneumococcal meningitis revealing dysplasia of the bony labyrinth in an infant.Arch Pediatr 1996; 3:254–257.
Pellegrino M, De Anseris AG, Tricarico N, Simeone A. Mondini’s dysplasia: A rare cause of recurrent meningitis in childhood.Minerva Pediatr 1994; 46:339–342.
Colmant A, Martin C, Teyssier G, Tommasi L, Freycon F. Recurrent purulent meningitis and deafness: Mondini’s malformation.pediatric 1986; 41:315–320.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tullu, M.S., Khanna, S.S., Kamat, J.R. et al. Mondini dysplasia and pyogenic meningitis. Indian J Pediatr 71, 655–657 (2004). https://doi.org/10.1007/BF02724130
Issue Date:
DOI: https://doi.org/10.1007/BF02724130