Hypertrophic chronic pachymeningitis associated with chronic otitis media and mastoiditis

被引：12

作者：

Kanzaki, S ^{[1
]}

Inoue, Y ^{[1
]}

Watabe, T ^{[1
]}

Ogawa, K ^{[1
]}

机构：

[1] Keio Univ Hosp, Dept Otolaryngol Head & Neck Surg, Tokyo 1600082, Japan

来源：

AURIS NASUS LARYNX | 2004年 / 31卷 / 02期

关键词：

chronic hypertrophic pachymeningitis inflarnination of middle ear; mastoiditis;

D O I：

10.1016/j.anl.2004.01.004

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

We describe the case history of a 70-year-old female patient presenting with bilateral hearing disturbance, facial paralysis, and vertigo. Radiological tests of temporal bone revealed soft tissue in the mastoid and tympanic cavities, and T1 weighted MRI revealed prominent Gd enhancement of the middle skull basal meninges. Middle ear inflammation appeared to induce pachymeningitis and to exacerbate associated symptoms, leading to a decline in the patient's overall condition. Bilateral mastoidectomies were effective in improving her general condition. Her hearing improved only on the right side because ossiculoplasty was performed only on that side. Her facial movement progressively improved and pachymeningitis diminished over time. We speculate that removal of the infectious granulation within the middle ears and mastoids ameliorated the acute inflammation. The etiology remains unknown in this case. (C) 2004 Elsevier Ireland Ltd. All rights reserved.

引用

页码：155 / 159

页数：5

共 18 条

[1]

ADAM N, 1999, NEUROSURGERY, V45, P1336

[2] MASKED DIABETIC MASTOIDITIS [J].

BADRAWY, R ;

ABOUBIEH, A ;

TAHA, A .

JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1975, 89 (08) :815-821

[3] Idiopathic hypertrophic cranial pachymeningitis associated with Sweet's Syndrome [J].

Cano, A ;

Ribes, R ;

de la Riva, A ;

Rubio, FL ;

Sánchez, C ;

Sancho, JL .

EUROPEAN JOURNAL OF RADIOLOGY, 2002, 44 (02) :139-142

[4] Combined therapy of corticosteroid and azathioprine in hypertrophic cranial pachymeningitis [J].

Choi, IS ;

Park, SC ;

Jung, YK ;

Lee, SS .

EUROPEAN NEUROLOGY, 2000, 44 (04) :193-198

[5]

Courville CB, 1934, ARCHIV OTOLARYNGOL, V19, P451

[6] Bilateral facial palsy caused by bilateral masked mastoiditis [J].

Fukuda, T ;

Sugie, H ;

Ito, M ;

Kikawada, T .

PEDIATRIC NEUROLOGY, 1998, 18 (04) :351-353

[7] Idiopathic hypertrophic cranial pachymeningitis associated with a dural arteriovenous fistula involving the straight sinus: Case report [J].

Hamada, J ;

Yoshinaga, Y ;

Korogi, Y ;

Ushio, Y .

NEUROSURGERY, 2000, 47 (05) :1230-1233

[8]

HOLT GR, 1983, LARYNGOSCOPE, V93, P1034

[9] Results of mastoiditis and mastoidectomy [J].

Kuttner, K ;

Buntzel, J ;

Andra, K .

LARYNGO-RHINO-OTOLOGIE, 1996, 75 (02) :65-69

[10] Rheumatoid factor positive hypertrophic cranial pachymeningitis in association with hypopituitarism and multiple cranial nerve palsies [J].

Manabe, Y ;

Narai, H ;

Warita, H ;

Hayashi, T ;

Sakai, K ;

Abe, K .

INTERNAL MEDICINE, 2001, 40 (09) :964-967

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