頁籤選單縮合
題 名 | Recurrent Bacterial Meningitis in two Patients with Mondini's Dysplasia |
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作 者 | Chiu,Nan-chang; Shu,Min-tsan; Huang,Fu-yuan; Shen,Ein-yiao; | 書刊名 | Acta Neurologica Taiwanica |
卷 期 | 7:1 1998.03[民87.03] |
頁 次 | 頁26-31 |
分類號 | 415.938 |
關鍵詞 | Recurrent meningitis; Perilymph fistula; Mondini's dysplasia; |
語 文 | 英文(English) |
英文摘要 | Recurrent bacterial meningitis is not common. It is mandatory to find out the predisposing factors in order to prevent recurrence. Two children with Mondini's dysplasia developed recurrent bacterial meningitis caused by a perilymph fistula. One girl had two episodes of H. influenzae meningitis and two episodes of S. pneumoniae meningitis. The another patient was a boy who had three episodes of S. pneumoniae meningitis. Both patients had neither cerebrospinal fluid (CSF) otorrhea nor CSF rhinorrhea. Obliteration of mastoid cells was found in their brain CT scans. Although each episode of meningitis could be cured with proper antibiotic therapy, surgical correction of the underlying anatomical defect finally resolved the problem. Our patients demonstrate that otorrhea or rhinorrhea may be absent in patients with perilymph fistula. Extensive diagnostic procedures, including exploratory surgery, may be needed to confirm the defect. Surgical procedure to occlude the CSF leakage may prevent the recurrence of meningitis. |
本系統中英文摘要資訊取自各篇刊載內容。