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<p>Congenital inner ear malformations, though typically diagnosed in childhood, can sometimes be diagnosed in adults, presenting with recurrent meningitis and balance disorders. These malformations stemming from embryonic developmental disruptions encompass anomalies such as incomplete partition defects, common cavity deformities, and enlarged vestibular aqueducts. High-resolution imaging techniques like HRCT-temporal bone and MRI are vital for diagnosis, allowing for detailed visualisation of inner ear structures and identification of potential cerebrospinal fluid leaks. Treatment often involves surgical intervention to repair these leaks and prevent recurrent infections. This clinical report serves as a reminder that congenital inner ear malformations should be considered in the differential diagnosis of adults presenting with recurrent meningitis, hearing loss and unexplained balance disorder, even without a childhood diagnosis.</p>

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Congenital Inner Ear Malformation and Recurrent Meningitis in an Adult: A Hidden Menace

  • 期刊论文

  • 发表日期：

    2025年6月26日

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  • Kamana Jyotsna Devi,
  • Kalaiarasi Raja,
  • Sabharisan Paramasivam,
  • Akshat Kushwaha,
  • R. Madhubala

摘要

Congenital inner ear malformations, though typically diagnosed in childhood, can sometimes be diagnosed in adults, presenting with recurrent meningitis and balance disorders. These malformations stemming from embryonic developmental disruptions encompass anomalies such as incomplete partition defects, common cavity deformities, and enlarged vestibular aqueducts. High-resolution imaging techniques like HRCT-temporal bone and MRI are vital for diagnosis, allowing for detailed visualisation of inner ear structures and identification of potential cerebrospinal fluid leaks. Treatment often involves surgical intervention to repair these leaks and prevent recurrent infections. This clinical report serves as a reminder that congenital inner ear malformations should be considered in the differential diagnosis of adults presenting with recurrent meningitis, hearing loss and unexplained balance disorder, even without a childhood diagnosis.