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反复发作脑膜炎又有内耳畸形时,必须怀疑存在先天性脑脊液漏。著者报告了两例伴发于内耳畸形的复发性脑膜炎病例。例1男,13岁,学龄前曾患中耳炎及多动症,左耳无听力。曾反复四次患脑膜炎。脑脊液、血、咽腔粘液培养都是肺炎双球菌。乳突片疑为左内耳发育不良;颞骨CT示有内耳骨泡及不完整的前半规管,而后、外半规管缺如,耳蜗几乎未形成,内耳骨泡部分缺少骨壁,怀疑因该骨缺损引起感染。手术凿开鼓窦
Recurrent meningitis has inner ear deformity, we must suspect the presence of congenital cerebrospinal fluid leakage. The authors reported two cases of recurrent meningitis associated with deformities in the inner ear. Example 1 male, 13 years old, had pre-school otitis media and ADHD, left ear no hearing. Mentioned meningitis four times. Cerebrospinal fluid, blood, pharyngeal mucus culture are pneumococcus. Mammograms were suspected to be left inner ear dysplasia; temporal bone CT showed the inner ear bones and incomplete anterior semicircular canal, and then, the outer semicircular canal was absent, the cochlea was scarcely formed, the inner wall lacked the bone wall, infection. Surgery to open up the drum