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2014 ; 2014
(ä): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A mistaken identity: rhabdomyosarcoma of the middle ear cleft misdiagnosed as
chronic suppurative otitis media with temporal lobe abscess
#MMPMID25240007
Muranjan M
; Karande S
; Parikh S
; Sankhe S
BMJ Case Rep
2014[Sep]; 2014
(ä): ä PMID25240007
show ga
A 5-year-old girl presented with a 3-month history of left side facial palsy,
followed sequentially by purulent ear discharge, complete external
ophthalmoplaegia and blurred vision. On clinical examination she was febrile with
left-sided conductive hearing loss. She was clinically diagnosed to have chronic
suppurative otitis media of the unsafe type with petrous apicitis, middle cranial
fossa abscess and cavernous sinus involvement. Preliminary CT scan findings were
reported as a large left temporal lobe abscess and left otitis media with
cholesteatoma. MRI of the brain obtained later corroborated the abnormalities
detected on the CT scan. Ten days after admission, a mass was seen protruding
from the external auditory canal. A biopsy of the mass was obtained and sent for
histopathological examination. Meanwhile, review of the MRI suggested an
aggressive neoplasm such as sarcoma/rhabdomyosarcoma. Histopathology clinched the
final diagnosis of an anaplastic type of embryonal rhabdomyosarcoma of the middle
ear cleft.