Use of Intrathecal Fluorescein in Recurrent Meningitis after Cochlear Implantation-A Case Report

Autor: Swati Tandon, Satinder Singh, Shalabh Sharma, Asish Lahiri
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Iranian Journal of Otorhinolaryngology, Vol 28, Iss 3, Pp 221-226 (2016)
Druh dokumentu: article
ISSN: 2251-7251
2251-726X
DOI: 10.22038/ijorl.2016.6060
Popis: Introduction: Congenital anomalies of the cochlea and labyrinth can be associated with meningitis and varying degrees of hearing loss or deafness. Despite antibiotics, meningitis remains a life threatening complication. Case Report: We report a case of recurrent meningitis following episodes of otitis media in a cochlear implantee child with bilateral vestibulocochlear malformation, due to fistula in the stapes footplate. Intrathecal fluorescin was used to identify the leak site. Conclusion: Recurrent meningitis can indicate for possible immunological or anatomical abnormalities as well for chronic parameningeal infections. Intraoperative use of intrathecal fluorescin is an ideal investigative tool to demonstrate cerebrospinal fluid (CSF) leak site in patients in whom other investigations fail to do so.
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