CEREBROSPINAL fluid otorrhea is commonly the result of temporal bone fracture; however, when not associated with trauma, it may initially resemble serous otitis media.1 The patient seen by the otolaryngologist has a sense of pressure in the ear or fluid in the middle ear. A persistence of symptoms in spite of adequate therapy for serous otitis media and profuse drainage of the ear after myringotomy and insertion of a tube should lead to additional diagnostic procedures to determine the cause of the persistent fluid. Cerebrospinal fluid otorrhea is occasionally associated with neoplasm of the CNS, such as cerebellopontine angle tumors and, rarely, meningomas.2 It has also been associated with empty-sella syndrome.3 This report describes a patient with a prolactinoma in whom the initial complaint was fullness in the ear and surgical drainage of the middle ear revealed CSF otorrhea.
Report of a Case
A 53-year-old man was
Piziak VK, Gilliland PF, Boyd G, Brown AK, Smigiel MR. Pituitary Tumor Initially Seen as Serous Otitis Media. JAMA. 1984;251(23):3131–3132. doi:10.1001/jama.1984.03340470057029