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December 1970

Recurrent Meningitis Due to a Congenital Fistula Through the Stapes Footplate

Author Affiliations

From the divisions of neurology (Dr. Schultz) and otolaryngology (Dr. Stool), Children's Hospital of Philadelphia.

Am J Dis Child. 1970;120(6):553-554. doi:10.1001/archpedi.1970.02100110101013

A child with congenital deafness had recurrent meningitis, related to a congenital fistula between the middle ear and the subarachnoid space, with a malformation of the stapes footplate. The fistulous communication was identified by pantopaque cisternography and middle ear exploration after lumbar subarachnoid instillation of fluorescein. Surgical obliteration of the fistula has prevented the recurrence of meningitis.