International Journal of Pediatric Otorhinolaryngology Extra
Volume 6, Issue 3 , Pages 128-130, September 2011

Recurrent meningitis in a child secondary to a parasellar arachnoid cyst: A case report

  • Tashneem Harris

      Affiliations

    • Division Otolaryngology, University of Cape Town, South Africa
    • Corresponding Author InformationCorresponding author at: H-53 OMB, Groote Schuur Hospital, Observatory, Cape Town 7925, South Africa. Tel.: +27 21 406 6420; fax: +27 21 448 8865.
    • ,
  • Darlene Lubbe

      Affiliations

    • Division of Otolaryngology, University of Cape Town, Faculty of Health Sciences, South Africa
    • ,
  • Patrick Semple

      Affiliations

    • Division of Neurosurgery, University of Cape Town, Faculty of Health Sciences, South Africa

Received 27 April 2010; accepted 15 May 2010. published online 18 June 2010.

Abstract 

We report a case of recurrent pneumoccal meningitis in an 8-year-old boy with an underlying congenital cerebrospinal fluid (CSF) fistula of the sphenoid sinus associated with a large parasellar arachnoid cyst. High resolution computed tomography (CT) scan showed no obvious skull base defects. A magnetic resonance imaging (MRI) scan revealed a large parasellar arachnoid cyst. He underwent obliteration of the right sphenoid sinus via an endoscopic transsphenoidal approach. Conclusion: Recurrent bacterial meningitis requires needs to be fully investigated with CT scan and MRI of the brain and skull base. Repair of these skull base defects are mandatory.

Keywords: Recurrent pneumococcal meningitis, CSF leaks, Congenital skull base defects, Arachnoid cysts

 

PII: S1871-4048(10)00039-0

doi:10.1016/j.pedex.2010.05.005

International Journal of Pediatric Otorhinolaryngology Extra
Volume 6, Issue 3 , Pages 128-130, September 2011

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