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John L. Kemink, MD; Malcolm D. Graham, MD; Jack M. Kartush, MD

Arch Otolaryngol Head Neck Surg. 1986;112(5):558-561.

Abstract
• Postsurgical and posttraumatic encephaloceles of the tegmen tympani and tegmen mastoideum are well-recognized occurrences. Less frequently recognized, however, is the spontaneous occurrence of an encephalocele associated with cerebrospinal fluid otorrhea or rhinorrhea. This cerebral herniation into the middle ear and the mastoid cavity in adults is associated with a loss of both bony and dural support, and surgical management must deal with both the cerebrospinal fluid leak and herniation of the brain.

(Arch Otolaryngol Head Neck Surg 1986;112:558-561)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Michigan Medical School, Ann Arbor.

Footnotes
Accepted for publication Sept 6, 1985.

Reprint requests to Department of Otolaryngology—Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI 48109 (Dr Kemink).

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