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Case Reports in Otolaryngology
Volume 2013, Article ID 969762, 3 pages
Case Report

Spontaneous Bilateral Meningoencephalocoeles of the Temporal Bones

1Auckland City Hospital, Auckland 1042, New Zealand
2Rotorua Hospital, Rotorua, New Zealand

Received 17 August 2013; Accepted 10 September 2013

Academic Editors: A. Kakigi and S. Ulualp

Copyright © 2013 Oliver Rose et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous tegmen tympani defects are rare with even rarer bilateral cases. The symptoms are nonspecific; hence, a high index of suspicion is required to prevent serious intracranial complications. We present a case of spontaneous bilateral tegmen tympani defects with associated meningoencephalocoeles in a 54-year-old male who presented with the signs and symptoms of severe meningitis. After careful workup which included a lumbar puncture, CT and MRI scans, both defects were repaired using a middle fossa approach. The patient made an uneventful recovery with complete cessation of otorrhoea and improvement in his hearing.