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Journal of Child Neurology
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Recurrent Meningitis Associated With a Petrous Apex Cephalocele

Toshino Motojima, MD

Department of Pediatrics Graduate School of Medicine Chiba University, toshino{at}cocoa.ocn.ne.jp.

Katsunori Fujii, MD, PhD

Department of Pediatrics Graduate School of Medicine Chiba University

Naruhiko Ishiwada, MD, PhD

Department of Pediatrics Graduate School of Medicine Chiba University

Jun-ichi Takanashi, PhD, PhD

Department of Pediatrics Graduate School of Medicine Chiba University

Osamu Numata, MD

Department of Neurosurgery Graduate School of Medicine Chiba University

Yoshio Uchino, MD, PhD

Department of Neurosurgery Graduate School of Medicine Chiba University

Iwao Yamakami, MD, PhD

Department of Neurosurgery Graduate School of Medicine Chiba University

Yoichi Kohno, MD, PhD

Department of Pediatrics Graduate School of Medicine Chiba University Chiba, Japan

We present the case of a 6-year-old girl with recurrent bacterial meningitis and cerebrospinal fluid (CSF) rhinorrhea associated with a petrous apex cephalocele (PAC). We diagnosed her by means of three-dimensional computed tomography (CT) and heavily T2-weighted magnetic resonance imaging (MRI). Petrous apex cephaloceles are usually an asymptomatic incidental finding in adults; however, they should be considered as a possible cause of CSF rhinorrhea, otorrhea, and recurrent meningitis in children. (J Child Neurol 2005;20:168—170).

Journal of Child Neurology, Vol. 20, No. 2, 168-170 (2005)
DOI: 10.1177/08830738050200021801
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