Cholesterol granuloma of the middle ear invading the cochlea - 27/04/12
, M.-B. Faye a, P. Bertholon a, C. Veyret b, J.-M. Dumollard c, J.-M. Prades a
Corresponding author. Tel.: +33 477127794; fax: +33 477127854.Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 4 |
| Iconographies | 3 |
| Vidéos | 0 |
| Autres | 0 |
Summary |
Objectives |
To report a second case of cholesterol granuloma of the middle ear invading the cochlea.
Material and methods |
A 54-year-old woman, who had undergone right-side tympanoplasty with stapedectomy, complained of intermittent right-side otorrhea associated with cophosis. Otomicroscopy found anterior eardrum perforation with mucopurulent effusion. Computed tomography (CT) showed a lesion filling the tympanic cavity, exposing the tympanic facial nerve, with destruction of the ossicles; the vestibule and cochlea were ossified except for the basal turn. The petrous apex was normal. Magnetic resonance imaging (MRI) showed invasion of the cavity and basal turn of the cochlea by a mass in heterogeneous hypersignal on T-1 weighted images, non-enhanced by gadolinium injection, and hyperintensity on T2-weighted images. Cholesterol granuloma of the middle ear was suspected, with surgery indicated due to the facial nerve exposure and cochlear invasion.
Results |
A brownish-yellow compressive mass invading the basal turn of the cochlea, suggestive of cholesterol granuloma, was removed. Histologic examination confirmed diagnosis.
Conclusion |
Direct invasion of the otic capsule by cholesterol granuloma is extremely unusual. Surgery is indicated in such cases, to avoid onset of neurologic complications.
Le texte complet de cet article est disponible en PDF.Keywords : Cholesterol granuloma, Middle ear, Cochlear invasion, Cophosis
Plan
Vol 129 - N° 2
P. 104-107 - avril 2012 Retour au numéro
Article précédent
- Understanding the deafened brain: Implications for cochlear implant rehabilitation
- D.S. Lazard, A.-L. Giraud, D. Gnansia, B. Meyer, O. Sterkers
- Isolated hydatid cyst of the neck: An unusual site
- M. Hmidi, N. Touiheme, M. Rbai, A. Messary
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?