Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 3 Issue 9

Bilateral Fallopian Canal Meningocele: Case Report and Literature Review

Vito Pontillo* and Nicola Quaranta

Otolaryngology Unit, Department of BMS, Neuroscience and Sensory Organs, University of Bari, Bari, Italy

*Corresponding Author: Vito Pontillo, Otolaryngology Unit, Department of BMS, Neuroscience and Sensory Organs, University of Bari, Bari, Italy.

Received: May 25, 2021; Published: June 23, 2021

Abstract

Meningocele of the fallopian canal is assumed to be related to a defective ossification of the Facial Canal and to a subsequent dilatation of the subarachnoid space within this canal.

We bring our personal experience with a singular case of bilateral fallopian canal meningocele of a 48-year-old woman with a history of right otogenic meningitis. Considering the high risk of iatrogenic CSF fistula or facial palsy, it was decided to proceed by exclusively treating the right meningocele, while monitoring the left side. We carried out a subsequent analysis of the literature in order to verify the accuracy of our strategy.

A comprehensive search was conducted in PubMed from January 1, 1966, through December 31, 2020. To the best of our knowledge, 25 cases of fallopian canal meningocele were reported in the literature thus far, and only one of them with bilateral presentation. All the surgical strategies were analysed.

Surgical approach to this condition must be tailored to the single case, especially in the unlikely circumstance of bilateral presentation. We propose our treatment strategy to this rare condition, in the lights of the literature debate and our personal experience.

Keywords: Bilateral; Fallopian Canal; Facial Canal; Meningocele

References

  1. Harrington JW Jr and Birck HG. “Recurrent meningitis due to congenital petrous fistula. A case report”. Archives of Otolaryngology5 (1967): 572-575.
  2. Gacek RR and Leipzig B. “Congenital cerebrospinal otorrhea”. Annals of Otology, Rhinology, and Laryngology3-1 (1979): 358-365.
  3. Barcz DV., et al. “Subarachnoid space: middle ear pathways and recurrent meningitis”. American Journal of Otolaryngology2 (1985): 157-163.
  4. Legent F., et al. “Malformations du canal facial, méningite et otorrhée cérébro-spinale [Malformation of the facial canal, meningitis and cerebrospinal otorrhea]”. Ann Otolaryngol Chir Cervicofac3 (1989): 197-200.
  5. Gray BG., et al. “Spontaneous meningocele, a rare middle ear mass”. American Journal of Neuroradiology1 (1995): 203-207.
  6. Petrus LV and Lo WW. “Spontaneous CSF otorrhea caused by abnormal development of the facial nerve canal”. American Journal of Neuroradiology2 (1999): 275-277.
  7. Foyt D and Brackmann DE. “Cerebrospinal fluid otorrhea through a congenitally patent fallopian canal”. Archives of Otorhinolaryngology-Head and Neck Surgery4 (2000): 540-542.
  8. Isaacson JE., et al. “Arachnoid cyst of the fallopian canal: a surgical challenge”. Otology and Neurotology - LWW Journals4 (2002): 589-593.
  9. Van la Parra RF., et al. “An arachnoid cyst of the fallopian canal”. Otology and Neurotology8 (2007): 1153-1154.
  10. Mong S., et al. “Fallopian canal meningocele: report of two cases”. Otology and Neurotology 4 (2009): 525-528.
  11. Dhanasekar G., et al. “Meningocoele of fallopian canal causing recurrent meningitis”. The Journal of Laryngology and Otology4 (2010): 460-462.
  12. Zhang Q., et al. “Arachnoid cysts confined to the internal auditory canal or facial nerve canal”. Journal of Laryngology and Otology10 (2011): 1053-1058.
  13. Allen KP and Roland PS. “Bilateral fallopian canal arachnoid cysts in a patient with spontaneous cerebrospinal fluid otorrhea”. Otology and Neurotology9 (2013): e128-129.
  14. Teufert KB and Slattery WH. “Cerebrospinal fluid leak of the fallopian canal”. Ear, Nose and Throat Journal: SAGE Journals3 (2013): E20-23.
  15. Sagardoy T., et al. “Arachnoid cyst of the fallopian canal and geniculate ganglion area: our experience of 9 cases”. Clinical Otolaryngology2 (2017): 461-466.
  16. Dey JK., et al. “Fallopian Canal Meningocele with Spontaneous Cerebrospinal Fluid Otorrhea: Case Report and Systematic Review of the Literature”. World Neurosurgery 122 (2019): e285-e290.
  17. Gacek RR. “Anatomy and significance of the subarachnoid space in the fallopian canal”. American Journal of Otolaryngology3 (1998): 358-365.
  18. Sanna M., et al. “Management of meningoencephalic herniation of the temporal bone: Personal experience and literature review”. Laryngoscope8 (2009): 1579-1585.
  19. Wootten CT., et al. “Management of brain herniation and cerebrospinal fluid leak in revision chronic ear surgery”. Laryngoscope7 (2005): 1256-1261.
  20. Redaelli De Zinis LO. “Transmastoid repair of meningoencephalic herniation associated with cholesteatoma by canal wall-down procedure: our experience in eighteen patients”. Clinical Otolaryngology5 (2013): 397-402.
  21. Vlastarakos PV., et al. “Efficacy assessment and complications of surgical management for superior semicircular canal dehiscence: a meta-analysis of published interventional studies”. European Archives of Oto-Rhino-Laryngology 2 (2009): 177-186.
  22. Gacek RR., et al. “Adult spontaneous cerebrospinal fluid otorrhea: diagnosis and management”. American Journal of Otolaryngology 6 (1999): 770-776.
  23. Rao AK., et al. “Diagnosis and management of spontaneous cerebrospinal fluid otorrhea”. Otology and Neurotology 6 (2005): 1171-1175.
  24. Phelps PD. “Congenital cerebrospinal fluid fistulae of the petrous temporal bone”. Clinical Otolaryngology and Allied Sciences 2 (1986): 79-92.
  25. Fisch U and Ruttner J. “Pathology of intratemporal tumors involving the facial nerve”. In: Fisch U, ed. Facial Nerve Surgery: Proceedings of the Third International Symposium on Facial Nerve Surgery, 9-12 August 1976, Zürich, Switzerland. Amstelveen, The Netherlands: Kugler Medical Publications (1977): 449-456.

Citation

Citation: Vito Pontillo and Nicola Quaranta. “Bilateral Fallopian Canal Meningocele: Case Report and Literature Review".Acta Scientific Otolaryngology 3.9 (2020): 53-62.

Copyright

Copyright: © 2020 Vito Pontillo and Nicola Quaranta. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US