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January 2018

Congenital Fistulae of the Stapedial Footplate and Round Window Membrane: An Unusual Cause of Recurrent Meningitis

Author Affiliations
  • 1Department of Otolaryngology–Head & Neck Surgery, University of Virginia, Charlottesville
  • 2Department of Neurosurgery, University of Virginia, Charlottesville
JAMA Otolaryngol Head Neck Surg. 2018;144(1):89-90. doi:10.1001/jamaoto.2017.2033

Recurrent meningitis in an otherwise healthy child should raise suspicion for cerebrospinal fluid (CSF) fistula. Children with congenital hearing loss and meningitis often have malformations of the inner ear.1 The most common cochlear malformations are cochlear hypoplasia (36%), incomplete partition (31%), and common cavity (13%).2