A suspected case of otitis media with anca associated vasculitis with hypertrophic pachymeningitis

DOI Web Site 6 References
  • Mada Yusuke
    Department of Otolaryngology, Southern TOHOKU Research Institute for Neuroscience
  • Ueki Yuji
    Department of Otolaryngology, Southern TOHOKU Research Institute for Neuroscience
  • Konno Akiyoshi
    Department of Otolaryngology, Southern TOHOKU Research Institute for Neuroscience
  • Yamauchi Tomohiko
    Department of Otolaryngology, Fukushima Medical University Aizu Medical Center
  • Yokoyama Syuji
    Department of Otolaryngology, Fukushima Medical University Aizu Medical Center
  • Ogawa Hiroshi
    Department of Otolaryngology, Fukushima Medical University Aizu Medical Center

Bibliographic Information

Other Title
  • 肥厚性硬膜炎を合併しANCA関連血管炎性中耳炎が疑われたANCA陰性難治性中耳炎の1例

Search this article

Abstract

A 70-year-old woman had been suffering from left otorrhea since 2012. She was due to undergo surgery because her otitis media was refractory. In September 2014, she was referred to our hospital for double vision due to left abducent paralysis since several days earlier. MRI revealed hypertrophic pachymeningitis extending from the left cerebellum to the left temporal lobe, and high-resolution CT of the temporal bone revealed diffuse nonerosive debris throughout the middle ear cleft. The ossicular chain was entirely intact. As we suspected that the hypertrophic pachymeningitis was caused by refractory otitis media, we examined the histopathology of the middle ear by mastoidectomy. The pathologic diagnosis was nonspecific granuloma. She was treated with steroids as we suspected that the hypertrophic pachymeningitis was related to ANCA associated vasculitis. The abducent paralysis improved in three months.

Journal

References(6)*help

See more

Keywords

Details

Report a problem

Back to top