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Meningoencephalic herniation into the middle ear: A report of 27 cases
Author(s) -
Arìstegui Miguel,
Falcioni Maurizio,
Taibah Abdelkader,
Russo Alessandra,
Landolfi Mauro,
Sanna Mario,
Saleh Essam
Publication year - 1995
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199505000-00013
Subject(s) - medicine , computed tomography , middle ear , magnetic resonance imaging , disc herniation , surgery , high resolution computed tomography , high resolution , radiology , remote sensing , lumbar , geology
Meningoencephalic herniation into the middle ear is a rare and potentially life‐threatening condition that may require prompt surgical intervention. Preoperative diagnosis is based on a high index of suspicion. Sometimes, however, meningoencephalic herniation is discovered during surgery. High‐resolution computed tomography and magnetic resonance imaging should be performed to confirm the diagnosis and to evaluate the extension of the herniated tissue. This article discusses the diagnostic approach, management strategy, and surgical technique used in 27 patients with meningoencephalic herniation. In an attempt to avoid infective complications, the authors used the middle cranial approach in patients with large herniations.