Mastoiditis and brain hernia (mastoiditis cerebri).

M. M. Paparella, W. L. Meyerhoff, C. A. Oliviera

Research output: Contribution to journalArticlepeer-review

44 Scopus citations


Ten patients with brain hernia occurring as an insidious complication of chronic mastoiditis coincidentally discovered at the time of surgery are described. Four had previous surgery, six did not. A history of trauma was othwise absent. Cerebrospinal fluid otorrhea did not occur. Our method of management is described. Pathology and pathogenesis are discussed. Three patients had pedunculated brain hernias, while seven had diffuse (fungoid) herniation. Granulation tissue appeared as an important part of the disease process. These may represent abortive attempts at brain abscess formation since the widespread use of antibiotics. Pacchionian bodies may also play a role in the pathogenesis.

Original languageEnglish (US)
Pages (from-to)1097-1106
Number of pages10
Issue number7 Pt 1
StatePublished - Jul 1 1978

ASJC Scopus subject areas

  • Otorhinolaryngology


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