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Intracranial Complications of Petrous Bone Cholesteatoma: A Case Report

Year 2009, Volume: 1 Issue: 2, 49 - 52, 01.08.2009

Abstract

Cholesteatoma is a cystic lesion which occured accumulation of keratinized multilayersquamousepitheliuminthemiddleearorotherpneumatizedregions ofthetemporalbone. Cholesteatomaofthepetrousboneextendinginto the intracranialregionisanunusualoccurrence. A71-year-oldmalepresentedwith ipsilateralotorrhoeaandfacialparalysis. Afterthediagnosisofcholesteatoma, themeningitisandbrainsteminfarctioncausedby lateralsinustrombosiswere developedinto theoneyearperiod. Thepatient'sclinicalandneuroradiological findings are discussed on the light of literature.

References

  • Horn KL. Intracranial extension of acquired aural cholesteatoma. Laryngoscope 2000; 110:761-772.
  • Burggraaff B, Luxford WM, Doyle KJ. Neurotologic treatment of acquired cholesteatoma. Am J Otol 1995; 16: 480-485.
  • Omran A, De Denato G, Piccirillo E, Leone O, Sanna M. Petrous bone cholesteatoma: management and outcomes. Laryngoscope 2006;116:619–626.
  • Miura MS, Krumennauer RC, Lubianca Neto JF. Intracranial complications of chronic suppurative otitis media in children Rev Bras Otorrinolaringol (Engl Ed) 2005;71:639–643.
  • Miranda JA, Martins LL, Borges MH, Solcia Filho N, Mendes Ede A. Lateral sinus thrombosis and brain abscess as a complication of cholesteatoma. Braz J Otorhinolaryngol. 2009; 75:159.
  • Garayev A, Talyshinskiy A, Büntzel J. Otogenic cerebellar abscess - two case histories. Laryngorhino- otologie 2007; 86:660-663.
  • Erol FS, Kaplan M, Kavakli A, Ozveren MF. Jugular foramen syndrome caused by choleastatoma. Clin Neurol Neurosurg 2005; 107:342-346.
  • Hanson JR, Esquivel C, Backous DD. Diagnosis and management of aggressive, acquired cholesteatoma with skull base and calvarial involvement: a report of 3 cases. Am J Otolaryngol 2006; 27:291-294.
  • Ndoye N, Hossini A, Ba MC. Traumatic choleste- atoma presenting as a brain abscess: a case report. Otol Neurotol 2005;26:65–67.

Petröz Kemik Kolesteatomuna Bağlı İntrakraniyal Komplikasyonlar: Olgu Sunumu

Year 2009, Volume: 1 Issue: 2, 49 - 52, 01.08.2009

Abstract

Kolesteatom, orta kulaktaveya temporal kemiktekidiğerpnömotikkavitelerde keratinize çok katlı skuamoz epitel ve keratin artıklarının anormal birikimi ile karakterize kistik bir oluşumdur. Petroz kemik kolesteatomları kulakta basınç hissi, ağrı, akıntı, işitme kaybı ve bazen de fasiyal sinir paralizisine yol açabilmektedir. Nadir de olsa petröz kemik yerleşimli kolesteatomlar intrakraniyalyayılımgösterebilmektedir. Burada kolesteatomtanısıaldıktan sonraki 1 yıl içerisinde, periferik fasiyal paralizi, menenjit, lateral sinus trombozuna bağlı beyin sapı infarktı gibi intrakraniyal komplikasyonlara maruz kalan 71 yaşında erkek hastanın klinik ve nöroradyolojik bulguları literatür ışığında gözden geçirilmiştir.

References

  • Horn KL. Intracranial extension of acquired aural cholesteatoma. Laryngoscope 2000; 110:761-772.
  • Burggraaff B, Luxford WM, Doyle KJ. Neurotologic treatment of acquired cholesteatoma. Am J Otol 1995; 16: 480-485.
  • Omran A, De Denato G, Piccirillo E, Leone O, Sanna M. Petrous bone cholesteatoma: management and outcomes. Laryngoscope 2006;116:619–626.
  • Miura MS, Krumennauer RC, Lubianca Neto JF. Intracranial complications of chronic suppurative otitis media in children Rev Bras Otorrinolaringol (Engl Ed) 2005;71:639–643.
  • Miranda JA, Martins LL, Borges MH, Solcia Filho N, Mendes Ede A. Lateral sinus thrombosis and brain abscess as a complication of cholesteatoma. Braz J Otorhinolaryngol. 2009; 75:159.
  • Garayev A, Talyshinskiy A, Büntzel J. Otogenic cerebellar abscess - two case histories. Laryngorhino- otologie 2007; 86:660-663.
  • Erol FS, Kaplan M, Kavakli A, Ozveren MF. Jugular foramen syndrome caused by choleastatoma. Clin Neurol Neurosurg 2005; 107:342-346.
  • Hanson JR, Esquivel C, Backous DD. Diagnosis and management of aggressive, acquired cholesteatoma with skull base and calvarial involvement: a report of 3 cases. Am J Otolaryngol 2006; 27:291-294.
  • Ndoye N, Hossini A, Ba MC. Traumatic choleste- atoma presenting as a brain abscess: a case report. Otol Neurotol 2005;26:65–67.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Şevki Şahin This is me

Nilgün Çınar This is me

Sunay Ayalp This is me

Tuğba Okluoğlu This is me

Kübra Batum This is me

Sibel Karşıdağ This is me

Publication Date August 1, 2009
Published in Issue Year 2009 Volume: 1 Issue: 2

Cite

Vancouver Şahin Ş, Çınar N, Ayalp S, Okluoğlu T, Batum K, Karşıdağ S. Petröz Kemik Kolesteatomuna Bağlı İntrakraniyal Komplikasyonlar: Olgu Sunumu. Maltepe tıp derg. 2009;1(2):49-52.