Hyrtl′s fissure による耳性髄液漏が原因であった侵襲性肺炎球菌性髄膜炎の1 例
細菌性髄膜炎の原因として先天奇形による耳性髄液漏があり，大部分が幼児期に発症し反復性髄膜炎のリスクとなる．症例は生来健康な6 歳女児．急性中耳炎に続く細菌性髄膜炎の発症を契機にHyrtl′s fissure からの耳性髄液漏を診断し瘻孔閉鎖術を行った．現在細菌性髄膜炎の再発なく経過している．ワクチン導入後より細菌性髄膜炎は減少しているが生来健康な幼児において細菌性髄膜炎を診断したら側頭骨奇形を鑑別に挙げ髄液漏の検索を行うべきである．...
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| Published in | 日大医学雑誌 Vol. 77; no. 1; pp. 39 - 43 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本大学医学会
2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0029-0424 1884-0779 |
| DOI | 10.4264/numa.77.1_39 |
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| Abstract | 細菌性髄膜炎の原因として先天奇形による耳性髄液漏があり，大部分が幼児期に発症し反復性髄膜炎のリスクとなる．症例は生来健康な6 歳女児．急性中耳炎に続く細菌性髄膜炎の発症を契機にHyrtl′s fissure からの耳性髄液漏を診断し瘻孔閉鎖術を行った．現在細菌性髄膜炎の再発なく経過している．ワクチン導入後より細菌性髄膜炎は減少しているが生来健康な幼児において細菌性髄膜炎を診断したら側頭骨奇形を鑑別に挙げ髄液漏の検索を行うべきである． |
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| AbstractList | 細菌性髄膜炎の原因として先天奇形による耳性髄液漏があり，大部分が幼児期に発症し反復性髄膜炎のリスクとなる．症例は生来健康な6 歳女児．急性中耳炎に続く細菌性髄膜炎の発症を契機にHyrtl′s fissure からの耳性髄液漏を診断し瘻孔閉鎖術を行った．現在細菌性髄膜炎の再発なく経過している．ワクチン導入後より細菌性髄膜炎は減少しているが生来健康な幼児において細菌性髄膜炎を診断したら側頭骨奇形を鑑別に挙げ髄液漏の検索を行うべきである． |
| Author | 宮川, 有雅里 稲毛, 康司 高橋, 昌里 鴫原, 俊太郎 河村, 研吾 武藤, 智和 米澤, 龍太 伊藤, 公嗣 |
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| References | 7) Brar R, Vijendren A, Salam M, et al. Spontaneous resolution of cerebrospinal fluid otorrhoea in a patient with a Hyrtl′s fissure. J Laryngol Otol 2015; 129: 817-819. 2) Park TS, Hoffman HJ, Humphreys RP, et al. Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia. Neurosurgery 1982; 11: 356-362. 6) Jégoux F, Malard O, Gayet-Delacroix M, et al. Hyrtl′s fissure: a case of spontaneous cerebrospinal fluid otorrhea. AJNR Am J Neuroradiol 2005; 26: 963-966. 4) Rich PM, Graham J, Phelps PD. Hyrtl′s fissure. Otol Neurotol 2002; 23: 476-82. 1) Sennaroglu L, Saatci I. A new classification for cochleovestibular malformations. Laryngoscope 2002; 112: 2230-2241. 5) Wilson MN, Simon LM, Arriaga MA, et al. The Management of Spontaneous Otogenic CSF Leaks: A Presentation of Cases and Review of Literature. J Neurol Surg B Skull Base 2014; 75: 117-124. 3) Ohlms LA, Edwards MS, Mason EO, et al. Recurrent meningitis and Mondini dysplasia. Arch Otolaryngol Head Neck Surg 1990; 116: 608-612. |
| References_xml | – reference: 3) Ohlms LA, Edwards MS, Mason EO, et al. Recurrent meningitis and Mondini dysplasia. Arch Otolaryngol Head Neck Surg 1990; 116: 608-612. – reference: 1) Sennaroglu L, Saatci I. A new classification for cochleovestibular malformations. Laryngoscope 2002; 112: 2230-2241. – reference: 4) Rich PM, Graham J, Phelps PD. Hyrtl′s fissure. Otol Neurotol 2002; 23: 476-82. – reference: 5) Wilson MN, Simon LM, Arriaga MA, et al. The Management of Spontaneous Otogenic CSF Leaks: A Presentation of Cases and Review of Literature. J Neurol Surg B Skull Base 2014; 75: 117-124. – reference: 2) Park TS, Hoffman HJ, Humphreys RP, et al. Spontaneous cerebrospinal fluid otorrhea in association with a congenital defect of the cochlear aqueduct and Mondini dysplasia. Neurosurgery 1982; 11: 356-362. – reference: 7) Brar R, Vijendren A, Salam M, et al. Spontaneous resolution of cerebrospinal fluid otorrhoea in a patient with a Hyrtl′s fissure. J Laryngol Otol 2015; 129: 817-819. – reference: 6) Jégoux F, Malard O, Gayet-Delacroix M, et al. Hyrtl′s fissure: a case of spontaneous cerebrospinal fluid otorrhea. AJNR Am J Neuroradiol 2005; 26: 963-966. |
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| SubjectTerms | Hyrtl′s fissure Mondini 奇形 細菌性髄膜炎 耳性髄液漏 肺炎球菌 |
| Title | Hyrtl′s fissure による耳性髄液漏が原因であった侵襲性肺炎球菌性髄膜炎の1 例 |
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