Title:
Middle ear capillary haemangioma causing vestibulocochlear symptoms: a case report
Authors:
L. Wuyts , J. Potvin , O.M. Vanderveken , M. Spaepen , M. Lammens and P. Van de Heyning
Institutions:
Department of Otorhinolaryngology, Head and Neck Surgery, 2Department of Radiology, Department of Pathology, Antwerp University Hospital, Edegem, Belgium; Faculty of Medicine, University of Antwerp, Belgium
Keywords:
Capillary haemangioma; vascular neoplasms; pulsatile tinnitus; vertigo; imaging (CT; MRI)
Pages:
237 - 243
Abstract:
Middle ear capillary haemangioma causing vestibulocochlear symptoms: a case report. 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.
Issue:
Vol. 10, 2014, 3rd trimester


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Middle ear capillary haemangioma causing vestibulocochlear symptoms: a case report