After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear.
Rajeev Kariyattil, Unnikrishnan Muthukuttiparambil 2012, 'Traumatic Acute Brain Herniation through the Ear in a Child; Concealed compound fracture',Sultan Qaboos University Medical Journalhttp://web.squ.edu.om/squmj/archive.asp?year=2012&panelno=0. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Both gave a history of otorrhoea, fever, headache, vomiting and had bilateral cerebellar signs and conductive hearing loss.
Nadkarni T, Bhayani R, Goel A, Karapurkar A 1993, 'Bilateral otogenic cerebellar abscesses.', Journal of Postgraduate Medicinehttp://www.jpgmonline.com/article.asp?issn=0022-3859;year=1993;volume=39;issue=1;spage=38;epage=9;aulast=Nadkarni. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
They can cause oral, nasal and pharyngeal mucosa ulcers, vocal cords lesions, otorrhoea and oropharyngeal vegetant lesions.
Heshiki, Rosana Emiko, Navarro, Paulo de Lima, Moreira, Jemima Herrero, Takemoto,Lúcio Eidy, Fornazieri, Marco Aurélio, Yamaguti, Hellen Yumi 2008, 'The most common otorhinolaryngologic manifestations of granulomatous diseases', International Archives of Otorhinolaryngologyhttp://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=541. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
The patient made an uneventful recovery with complete cessation of otorrhoea and improvement in his hearing.
Oliver Rose, Michel Neeff, Christopher Low 2013, 'Spontaneous Bilateral Meningoencephalocoeles of the Temporal Bones', Case Reports in Otolaryngologyhttp://dx.doi.org/10.1155/2013/969762. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)