Diagnosis and Management of Paradoxical Cerebrospinal Rhinnorhea in Mondini's Dysplasia.

Indian J Otolaryngol Head Neck Surg

ENT, Head and Neck and Skullbase Surgery, Apollo Cancer Center, Chennai, Tamilnadu India.

Published: October 2024

Objectives: To highlight a case of unilateral Mondini's dysplasia and it's potential to manifest as paradoxical cerebrospinal fluid (CSF) rhinorrhoea and recurrent meningitis in an adult.

Methods: A single case report with presentation and management of a patient with left sided Mondini's Dysplasia who presented with watery nasal discharge in the background of recurrent meningitis. We review the differential diagnoses and the importance of a multi-disciplinary approach to management.

Results: Post-auricular approach was taken and the leak was identified at the footplate of Stapes and sealed with fascia lata. The middle ear was obliterated and blind sac closure was done. The patient made a good recovery.

Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-024-04903-5.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11455782PMC
http://dx.doi.org/10.1007/s12070-024-04903-5DOI Listing

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