Hostname: page-component-848d4c4894-x5gtn Total loading time: 0 Render date: 2024-05-29T03:54:27.992Z Has data issue: false hasContentIssue false

Air travel induced meningitis following vestibular schwannoma (acoustic neuroma) surgery

Published online by Cambridge University Press:  29 June 2007

Vincent Callanan*
Affiliation:
Department of Otolaryngology, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
A. F. Fitzgerald O'Connor
Affiliation:
Department of Otolaryngology, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
T. T. King
Affiliation:
Department of Neurological Surgery, The Royal London Hospital, Whitechapel, London E1 1BB, UK.
*
Address for correspondence: Mr Vincent Callanan, F. R.C.S.(ENT), F.R.C.S.I.(ENT), Registrar, Department of ENT Surgery, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH.

Abstract

Two cases are presented in which patients flying home shortly after translabyrinthine removal of a vestibular schwannoma (acoustic neuroma) developed acute bacterial meningitis on landing. This complication has not been described before. The incidence and management of CSF leaks after vestibular schwannoma surgery is also discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ballance, C. A. (1907) Some Points in the Surgery of the Brain and its Membranes. Macmillan, London, p 276.Google Scholar
Benson, A. J., King, P. F. (1987) Pathophysiology of the ears and nasal sinuses in flying and diving. In Scott-Brown's Otolaryngology. 5th Edition, vol 1: pp 183186. (Wright, D., Kerr, A. G., eds.), Butterworths, London.Google Scholar
Bentivoglio, P., Cheesman, A. D., Symon, L. (1988) Surgical management of acoustic neuromas during the last five years, (Part I). Surgical Neurology 29: 197204.CrossRefGoogle ScholarPubMed
Bryce, G. E., Nedzelski, J. M., Rowed, D. W., Rappaport, J. M. (1991) Cerebrospinal fluid leaks and meningitis in acoustic neuroma surgery. Otolaryngology - Head and Neck Surgery 104: 8187.CrossRefGoogle ScholarPubMed
Cushing, H. (1917) Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontine Angle. W. B. Saunders and Company, Philadelphia, p 277.Google Scholar
Dandy, W. E. (1925) Operation for the total removal of cerebellopontine (acoustic) tumours. Surgery, Gynaecology and Obstetrics 41: 129148.Google Scholar
Di Tullio, M. V., Malkasian, D., Rand, R. W. (1978) A critical comparison of neurosurgical and otological approaches to acoustic neuromas. Journal of Neurosurgery 48: 112.CrossRefGoogle ScholarPubMed
Ebersold, M. J., Harner, S. G., Beatty, C. W., Harper, C. M. Jr., Quast, L. M. (1992) Current results of the retrosigmoid approach to acoustic neurinoma. Journal of Neurosurgerv 76: 897900.Google ScholarPubMed
Gantz, B. J., Parnes, L. S., Harke, L. A., McCabe, B. F. (1986) Middle cranial fossa acoustic neuroma excision: results and complications. Annals of Otology, Rhinologv, and Laryngology 95: 454459.CrossRefGoogle Scholar
Glasscock, M. E., Kveton, J. F., Jackson, C. G., Levine, S. C. (1986) A systematic approach to the management of acoustic neuroma. Laryngoscope 96: 10881094.CrossRefGoogle Scholar
Hardy, D. G., MacFarlane, R., Baguley, D., Moffat, D. A. (1989) Surgery for acoustic neuroma. An analysis of 100 translabyrinthine operations. Journal of Neurosurgerv 71: 799804.CrossRefGoogle ScholarPubMed
Hardy, D. G., MacFarlane, R., Moffat, D. A. (1993) Wound closure after acoustic neuroma surgery. British Journal of Neurosurgery 7: 171174.CrossRefGoogle ScholarPubMed
Harner, S. G., Ebersold, M. J. (1985) Management of acoustic neuromas, 1978–1983. Journal of Neurosurgery 63: 175179.CrossRefGoogle ScholarPubMed
House, W. F. (1964) Transtemporal bone microsurgical removal of acoustic neuromas: Report of cases. Archives of Otolaryngology 88: 617667.Google Scholar
King, T. T., Morrison, A. W. (1980) Translabyrinthine and transtentorial removal of acoustic nerve tumours, results of 150 cases. Journal of Neurosurgery 52: 210216.CrossRefGoogle ScholarPubMed
Mangham, C. A. (1988) Complications of translabyrinthine vs. suboccipital approach for acoustic tumour surgery. Otolaryngology - Head and Neck Surgery 99: 396400.CrossRefGoogle Scholar
Tos, M., Thomsen, J., Harmsen, A. (1989) Acoustic neuroma surgery: results of translabyrinthine tumour removal in 300 patients. Discussion of choice in relation to overall results and possibility of hearing preservation. British Journal of Neurosurgery 3: 349360.Google Scholar
Whittaker, C. K., Luetje, C. M. (1985) Translabyrinthine removal of large acoustic tumors. American Journal of Otology (Suppl) 52: 155160.Google Scholar