Post-Traumatic Pseudomeningocele Presenting as a Pulsatile Cyst of the External Auditory Canal
Turkish Archives of Otorhinolaryngology, cilt.63, sa.3, ss.157-160, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 63 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/tao.2025.2025-2-8
- Dergi Adı: Turkish Archives of Otorhinolaryngology
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.157-160
- Anahtar Kelimeler: Ear surgery, hearing loss, pseudomeningocele, cerebrospinal fluid, temporal bone, otorrhea, case report
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Pseudomeningocele is a of cerebrospinal fluid filled, extracranial cystic collection resulting from a dural defect, which may occur congenitally, postoperatively, or after trauma. Post-traumatic pseudomeningocele is rare, particularly in the temporal bone region. We report a 37-year-old woman who presented with progressive hearing loss and intermittent otorrhea, two decades after head trauma. Otoscopy revealed a pulsatile cystic lesion in the right external auditory canal. Imaging showed a ~20 mm tegmen tympani defect with herniation into the tympanomastoid area. Surgical repair involved transmastoid excision of the sac and multilayer reconstruction of the tegmen defect with mastoid obliteration. This case emphasizes the need to consider skull base defects in patients with a history of head trauma and persistent otologic symptoms.