Petrous apex lesion following meningitis: management and discussion

Author:

Elmaraghy Charles12,Bishop Ryan1,Barron Christine3,Adunka Oliver12

Affiliation:

1. Department of Otolaryngology-Head and Neck Surgery, The Ohio State College of Medicine, Columbus, OH, USA

2. Department of Pediatric Otolaryngology–Head and Neck Surgery, Nationwide Children’s Hospital, Columbus, OH, USA

3. Department of Otolaryngology–Head and Neck Surgery, Mount Sinai, New York, NY, USA

Abstract

Abstract A 9-year-old male with history of mixed hearing loss presented with petrous apex lesion following episode of meningitis. Serial imaging revealed persistence of the lesion necessitating biopsy to rule out malignancy. Biopsy revealed inflammatory changes. The management of petrous apex lesions following meningitis can be conservative but repeat imaging is necessary to rule out progression and to rule out neoplastic process.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference13 articles.

1. Petrous apex lesions in the pediatric population;Radhakrishnan;Pediatr Radiol,2014

2. Intratemporal complications of acute otitis media in children;Goldstein;Otolaryngol Head Neck Surg,1998

3. Management of Gradenigo syndrome in a child;Marianowski;Int J Pediatr Otorhinolaryngol,2001

4. Lesions of the petrous apex: diagnosis and management;Isaacson;Otolaryngol Clin North Am,2007

5. The changing face of petrous apicitis—a 40-year experience;Gadre;Laryngoscope,2018

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