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CSF otorhinorrhea in a child with inner ear dysplasia: diagnosis with T2-weighted and intrathecal contrast-enhanced MR cisternography

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Abstract

During the follow-up of recurrent pneumonia in a 9-month-old girl, rhinorrhea with discharge of a positional and intermittent nature was discovered. Radiological assessment was requested to detect any skull base openings and cerebrospinal fluid (CSF) leakage. T2-weighted MR cisternography showed bilateral inner ear dysplasia, communication of the internal auditory canal with the vestibule, and effusion in the right middle ear. Intrathecal contrast-enhanced MR cisternography revealed a CSF fistula from the right internal auditory canal to the Eustachian tube. The patient was operated upon on the right side, and the presence of a CSF leak near the oval window was confirmed. No adverse effects were seen during the short-term and long-term follow-up. Diagnosing this case required special attention, careful examination, and relevant investigations to find the site of CSF leakage in this patient with bilateral inner ear dysplasia.

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References

  1. Ecin G, Oner AY, Tokgoz N, Ucar M, Aykol S, Tali T. T2-weighted vs. intrathecal contrast-enhanced MR cisternography in the evaluation of CSF rhinorrhea. Acta Radiol. 2013;54(6):698–701.

    Google Scholar 

  2. Selcuk H, Albayram S, Ozer H, Ulus S, Sanus GZ, Kaynar MY, Kocer N, Islak C. Intrathecal gadolinium-enhanced MR cisternography in the evaluation of CSF leakage. AJNR. 2010;31(1):71–5.

    Article  CAS  PubMed  Google Scholar 

  3. Tali ET, Ercan N, Kaymaz M, Pasaoglu A, Jinkins JR. Intrathecal gadolinium-enhanced MR cisternography used to determine potential communication between the cerebrospinal fluid pathways and intracranial arachnoid cysts. Neuroradiology. 2004;46(9):744–54.

    Google Scholar 

  4. Tali ET, Ercan N, Krumina G, Rudwan M, Mironov A, Zeng QY, Jinkins JR. Intrathecal gadolinium (gadopentetate dimeglumine) enhanced magnetic resonance myelography and cisternography: results of a multicenter study. Invest Radiol. 2002;37(3):152–9.

    Article  PubMed  Google Scholar 

  5. Giesemann AM, Goetz F, Neuburger J, Lenarz T, Lanfermann H. From labyrinthine aplasia to otocyst deformity. Neuroradiology. 2010;52(2):147–54.

    Article  PubMed  Google Scholar 

  6. Sennaroglu L, Saatci I. A new classification for cochleovestibular malformations. Laryngoscope. 2002;112(12):2230–41.

    Article  PubMed  Google Scholar 

  7. Muñoz A, Hinojosa J, Esparza J. Cisternography and ventriculography gadopentate dimeglumine-enhanced MR imaging in pediatric patients: preliminary report. AJNR. 2007;28(5):889–94.

    PubMed  Google Scholar 

  8. Park KW, Im SB, Kim BT, Hwang SC, Park JS, Shin WH. Neurotoxic manifestations of an overdose intrathecal injection of gadopentetate dimeglumine. J Korean Med Sci. 2010;25(3):505–8.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, Bezmialem Vakif University School of Medicine, Adnan Menderes blv, Fatih, Istanbul, Turkey

    Elnur Mehdi, Alpay Alkan, Huseyin Yetis, Ayse Aralasmak & Huseyin Ozdemir

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  1. Elnur Mehdi
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  2. Alpay Alkan
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  3. Huseyin Yetis
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  4. Ayse Aralasmak
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  5. Huseyin Ozdemir
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Correspondence to Elnur Mehdi.

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Mehdi, E., Alkan, A., Yetis, H. et al. CSF otorhinorrhea in a child with inner ear dysplasia: diagnosis with T2-weighted and intrathecal contrast-enhanced MR cisternography. Jpn J Radiol 32, 437–440 (2014). https://doi.org/10.1007/s11604-014-0316-y

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  • DOI: https://doi.org/10.1007/s11604-014-0316-y

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