Publication
Title
Middle ear capillary haemangioma causing vestibulocochlear symptoms : a case report
Author
Abstract
Problem: A 58-year-old man presented with transient vertigo and pulsatile tinnitus. Methods: High-resolution computed tomography, magnetic resonance imaging, excision, and subsequent immunohistochemical assays were performed. Results: Imaging showed a soft tissue mass in the epitympanum and mastoid with bone erosion of the tegmen tympani and a dural tail sign, suggesting meningioma. Subsequently, because of signs of clinical progression, a canal-wall-up attico-antromastoidectomy was performed, with near-complete removal of a granulomatous, ossifying, haemorrhagic mass. Conclusions: Radiological imaging was critical in determining the extent of the mass and excluding other pathologies. Due to the atypical clinical and radiological signs, the final diagnosis of capillary haemangioma of the middle ear and temporal bone was made only after surgical resection and histopathological examination with immunohistochemistry, which excluded meningioma. The contiguous occurrence of cutaneous capillary haemangioma of the lateral face and neck was an important clue to the diagnosis.
Language
English
Source (journal)
B-ENT
Publication
2014
Volume/pages
10(2014), p. 237-243
ISI
000344837700013
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 13.10.2014
Last edited 03.05.2017
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