Perichiasmatic granuloma occuring after radical mastoidectomy: MR findings.

Djouhri, H; Marsot-Dupuch, K; Joutel, A; Kujas, M; Brette, M D; Artuis, F; Tubiana, J M · Eur Radiol · 1998

case_report · Level V

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Abstract

A case of chronic chemical meningitis occurring after a radical mastoidectomy is reported. Imaging and surgical findings were suggestive of a dissemination of cholesteatoma debris within the subarachnoid spaces. Chemical meningitis has been described in epidermoid and dermoid cyst rupture. This report illustrates that clinicians should be aware of this possible complication. Skull base imaging is mandatory before considering the diagnosis of idiopathic meningitis. Only treatment of the abnormal communication between cerebrospinal fluid and middle ear may eradicate the origin of this rare meningitis.

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