Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.203 |
Resumo: | The authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect. |
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Spontaneous cerebrospinal fluid otorrhea – Case report and literature revisionFístulas espontâneas de líquido cefalorraquidiano do ouvido médio – A propósito de um caso clínico.spontaneous fistulaecerebrospinal fluidmiddle earfístulas espontâneaslíquido cefalorraquidianoouvido médioThe authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect.Relata-se o caso clínico de mulher de 66 anos, referenciada à consulta de Otorrinolaringologia do Hospital Prof. Doutor Fernando Fonseca por acufeno e hipoacusia, bilaterais, mais intensos à direita, com vários anos de evolução mas com agravamento nos últimos dois. A observação e exames audiométricos eram sugestivos de derrame no ouvido médio, com fossas nasais e rinofaringe sem alterações. Foi submetida a miringotomia com intenção de colocação de tubo de ventilação transtimpânico. Intra-operatoriamente constatou-se a drenagem abundante de líquido límpido e incolor tipo “água de rocha”, que rapidamente preenchia o canal auditivo externo.Foi colhida amostra do líquido para análise bioquímica, incluindo β2-transferrina e tamponou-se o canal auditivo externo. O resultado foi compatível com líquido cefalorraquidiano. Realizou tomografia computorizada de ouvidos e ressonância magnética de crânio, verificandose erosão inequívoca do tegmen á direita, sem sinais de meningoencefalocelo. Foi proposta correcção cirúrgica da fístula.Os autores propõem-se realizar uma breve revisão bibliográfica desta patologia.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2011-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.203https://doi.org/10.34631/sporl.203Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 49 No. 4 (2011): Dezembro; 299-303Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 49 Núm. 4 (2011): Dezembro; 299-303Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 49 N.º 4 (2011): Dezembro; 299-3032184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2540https://journalsporl.com/index.php/sporl/article/view/2540/545Costa, EuricoGuimarães, AnaFreire, FilipeGabão Veiga, V.info:eu-repo/semantics/openAccess2024-06-06T12:59:02Zoai:journalsporl.com:article/2540Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:59:02Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision Fístulas espontâneas de líquido cefalorraquidiano do ouvido médio – A propósito de um caso clínico. |
title |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
spellingShingle |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision Costa, Eurico spontaneous fistulae cerebrospinal fluid middle ear fístulas espontâneas líquido cefalorraquidiano ouvido médio |
title_short |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
title_full |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
title_fullStr |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
title_full_unstemmed |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
title_sort |
Spontaneous cerebrospinal fluid otorrhea – Case report and literature revision |
author |
Costa, Eurico |
author_facet |
Costa, Eurico Guimarães, Ana Freire, Filipe Gabão Veiga, V. |
author_role |
author |
author2 |
Guimarães, Ana Freire, Filipe Gabão Veiga, V. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Costa, Eurico Guimarães, Ana Freire, Filipe Gabão Veiga, V. |
dc.subject.por.fl_str_mv |
spontaneous fistulae cerebrospinal fluid middle ear fístulas espontâneas líquido cefalorraquidiano ouvido médio |
topic |
spontaneous fistulae cerebrospinal fluid middle ear fístulas espontâneas líquido cefalorraquidiano ouvido médio |
description |
The authors present the case report of a 66 years old female patient, referred to our department at Hospital Prof. Doutor Fernando Fonseca for tinnitus and hearing loss, bilateral, more intense on the right side, with several years of evolution but worse in the last two years. Physical examination and audiometric tests were suggestive of otitis media with effusion.Nasal cavity and nasopharynx were normal. She underwent myringotomy for transtympanic ventilation tube placement. Immediately after myringotomy abundant drainage of a clear, colorless liquid was found, quickly filling the external auditory canal. A fluid sample was collected for biochemical analysis, including β2-transferrin, and the external auditory canal was packed. The result was consistent with cerebrospinal fluid. A computed tomography and magnetic resonance imaging were performed and a defect on the right temporal bone tegmen was found, without signs of meningoencephalocele.We proposed surgical repair of the defect. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.203 https://doi.org/10.34631/sporl.203 |
url |
https://doi.org/10.34631/sporl.203 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2540 https://journalsporl.com/index.php/sporl/article/view/2540/545 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 49 No. 4 (2011): Dezembro; 299-303 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 49 Núm. 4 (2011): Dezembro; 299-303 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 49 N.º 4 (2011): Dezembro; 299-303 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817546029024673792 |