This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Bruce D. Snyder, MD; Lawrence R. Boies, Jr, MD; Rolf F. Ulvestad, MD; Phillip A. McGuiness

Arch Neurol. 1979;36(3):174-175.

Abstract
• Perilymphatic fistulae, developing even years after stapedectomy, open a communication between the perilymph and middle ear. These fistulae constitute a potential pathway for flora of the middle ear to invade the subarachnoid space by way of the cochlear aqueduct. Our patient developed pneumococcal meningitis 14 months after stapedectomy. The history of stapedectomy in a patient with meningitis is an indication for reexploration of the operative site. The appearance of fistula symptoms in patients who have had stapedectomy indicates a high risk for development of intracranial infection.

Author Affiliations
From the Department of Neurology, St Paul-Ramsey Hospital.

Footnotes
Accepted for publication Feb 10, 1978.

Reprint requests to Department of Neurology, St Paul-Ramsey Hospital, St Paul, MN 55101 (Dr Snyder).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?