Brainstem Herniation into the Internal Acoustic Canal Secondary to Hydrocephalus in Context of Spontaneous Cerebrospinal Fluid Otorrhea: Report of a Novel Entity

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2017 Sep 15

PMID 28905145

Citations 1

Authors

Cristian Gragnaniello

John S Myseros

Reza Taheri

Ashkan Monfared

Affiliations

Soon will be listed here.

Abstract

Introduction And Clinical Presentation: The authors report a case of a 5-year-old boy presenting with vision loss, right-sided hearing loss, and facial paralysis secondary to hydrocephalus causing brainstem herniation into the internal auditory canal (IAC) following cerebrospinal fluid (CSF) otorrhea.

Management And Outcome: After placement of a ventriculo-peritoneal shunt (VP shunt), the vision and facial palsy improved whilst hearing loss persisted. Imaging demonstrated partial reduction of the herniated brainstem and resolution of hydrocephalus. To our knowledge, this is the first case reported of brainstem herniation into the internal auditory canal.

Citing Articles

Flocculus Herniation into the Internal Acoustic Canal in Incomplete Partition Type I: A Case Report.

Parlak S, Akgoz A, Arslan S, Sennaroglu L, Karli Oguz K J Int Adv Otol. 2023; 19(3):266-268.

PMID: 37272648 PMC: 10331634. DOI: 10.5152/iao.2023.22797.

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