International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 3 , Pages 105-110 , September 2009

Idiopathic cerebrospinal fluid leakage from a patent fallopian canal involving arachnoid cyst in an infant: A case report

  • Kazuharu Yamazaki

      Affiliations

    • Department of Otorhinolaryngology, Iwate Medical University, Uchimaru 19-1, Morioka 020-8505, Iwate Pref., Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 19 651 5111; fax: +81 19 652 8642.
    • ,
  • Hiroaki Sato

      Affiliations

    • Department of Otorhinolaryngology, Iwate Medical University, Uchimaru 19-1, Morioka 020-8505, Iwate Pref., Japan
    • ,
  • Atsushi Kamei

      Affiliations

    • Department of Pediatric, Iwate Medical University, Japan
    • ,
  • Manami Akasaka

      Affiliations

    • Department of Pediatric, Iwate Medical University, Japan

Received 9 July 2008 ,Accepted 9 September 2008.

  • Image Result

    CT of the temporal bones: (a) right side and (b) left side. The labyrinthine portion of the left fallopian canal (arrow) was expanded as compared to the right side, and a lesion appearing to be CSF re

    CT of the temporal bones: (a) right side and (b) left side. The labyrinthine portion of the left fallopian canal (arrow) was expanded as compared to the right side, and a lesion appearing to be CSF retention was seen in mastoid cells.

  • Image Result
    Results of 111In cisternography (1h after injection) and SPECT (3h after injection). (a) One month after onset. Accumulation was seen in the left temporal region. (b) One month after surgery. Accumula

    Results of 111In cisternography (1h after injection) and SPECT (3h after injection). (a) One month after onset. Accumulation was seen in the left temporal region. (b) One month after surgery. Accumulation was seen in the left temporal region.

  • Image Result
    Intraoperative findings. Incus was removed. A fissure was seen in the labyrinthine portion of the fallopian canal, and an arachnoid cyst (AC) protruded through the fissure. CSF leakage was observed at

    Intraoperative findings. Incus was removed. A fissure was seen in the labyrinthine portion of the fallopian canal, and an arachnoid cyst (AC) protruded through the fissure. CSF leakage was observed at the bottom of the AC (arrow). M: body of the malleus.

  • Image Result
    CT of the temporal bones at 5 years after surgery. Although postoperative changes were seen, no CSF accumulation was present and fistula was obliterated by ossification (arrow).

    CT of the temporal bones at 5 years after surgery. Although postoperative changes were seen, no CSF accumulation was present and fistula was obliterated by ossification (arrow).

PII: S1871-4048(08)00065-8

doi: 10.1016/j.pedex.2008.09.003

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 3 , Pages 105-110 , September 2009

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