AJDRAJNR - American Journal of Neuroradiology

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Hyrtl’s Fissure: A Case of Spontaneous Cerebrospinal Fluid Otorrhea

F. Jégouxa, O. Malarda, M. Gayet-Delacroixb, P. Bordurea, F. Legenta and C. Beauvillain de Montreuila

a Service d’ORL et chirurgie cervico-faciale, CHU Hotel-Dieu, Nantes, France
b Service de Radiologie, CHU Hotel-Dieu, Nantes, France



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FIG 1. CT scan in the axial plane. The cleft extends between the bony labyrinth and the jugular bulb.



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FIG 2. CT scan in the coronal plane. The cleft extends from the hypotympanum, inferior to a normal bony labyrinth, and toward the posterior fossa close to the endolymphatic sac.



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FIG 3. MR image in the axial plane obtained with a T2-weighted sequence (TE, 128 TR, 4416; NEX, 1; section thickness, 3 mm). Hyperintensity of the CSF can be seen in the medial cavity communicating with cerebellopontine angle.



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FIG 4. MR image in the coronal plane obtained with a T2-weighted sequence (TE, 128; TR, 4416; NEX, 1; section thickness, 3 mm). The cleft is seen under the cochlea and below the internal auditory meatus level.