Abstract
An inflammatory pseudotumour of the temporal bone is a rare, idiopathic, fibro-inflammatory lesion which mimics malignancy. Although such a lesion is known to occur elsewhere in the body such as the liver, abdominal viscera, pelvis, thorax and the upper respiratory tract, the involvement of the temporal bone is extremely unusual. We present such a case in a 60-year-old man, which provided a great diagnostic challenge. We review the key radiological and histological results that confirmed the diagnosis and demonstrated for the first time that oral steroids alone may completely resolve the condition.
Similar content being viewed by others
References
Coffin CM, Watterson J, Priest JR, Dehner LP (1995) Extrapulmonary inflammatory myofibroblastic tumour (inflammatory psuedotumour): a clinicopathologic and immunohistochemical study of 84 cases. Am J Surg Pathol 19:859–872
Cho YS, Kim SM, Chung WH, Hong SH (2001) Inflammatory pseudotumour involving the skull bases and cervical spine. J Laryngol Otol 115:580–584
Chen JM, Moll C, Schotton JC, Fisch U (1994) Inflammatory pseudotumours of the skull base. Skull Base Surg 4:93–98
Mulder JJ, Cremers WR, Joosten F, Wiersma A, van den Broek P (1995) Fibroinflammotory pseudotumor of the ear. A locally destructive benign lesion. Arch Otolaryngol Head Neck Surg 121:930–933
Yanagihara N, Segoe M, Gyo K, Ueda N (1991) Inflammatory pseudotumour of the facial nerve as a cause of recurrent facial palsy: case report. Am J Otol 12:199–202
Wiseman JB, Arriaga MA, Houston GD, Boyd EM (1995) Facial paralysis and inflammatory pseudotumor of the facial nerve in a child. Otolaryngol Head Neck Surg 113:826–828
Schnoermark MP, Issing P, Stover T, Ruh S, Lenarz T (1998) Fibroinflammatory pseudotumor of the temporal bone. Skull Base Surg 8(1):45–50
Dehner LP, Coffin CM (1998) Idiopathic fibrosclerotic disorders and other inflammatory pseudotumors. Semin Diagn Pathol 15:161–173
Arber DA, Kamel OW, Davis RE et al (1994) Detection of the Epstein–Barr virus in inflammatory psesudotumor. Mod Pathol 7:102A
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article can be found at http://dx.doi.org/10.1007/s00405-007-0553-0
Rights and permissions
About this article
Cite this article
Coulson, C., George, A., Biswas, A. et al. Pseudotumour of the temporal bone: a usual cause of otorrhoea and facial palsy. Eur Arch Otorhinolaryngol 265, 713–715 (2008). https://doi.org/10.1007/s00405-007-0500-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-007-0500-0