Recurrent pyogenic meningitis and mondini dyspasia: Surgeons nightmare-Our experience

History of recurrent meningitis in a deaf child warrants radiological evaluation with MRI and high resolution computed tomography. Mondini's dysplasia may be recognized during evaluation of recurrent meningitis in children. Mondinis dysplasia commonly associated with deafness is frequently heralded by recurrent pyogenic meningitis secondary to communication of middle ear with subarachanoid space. Early diagnosis requires high clinical suspicion and radiologic investigation and successful repair can prevent sequelae. We report a case of seven year old deaf child who presented with four episodes of recurrent meningitis and bilateral deafness. Mondinis dysplasia of inner ear was diagnosed on high resolution computed tomography and MRI. The defect in the middle ear was successfully repaired. We report this case for its rarity and to highlight the fact that mondinis dysplasia should be considered in differential diagnosis in child presenting with recurrent meningitis and sensorineural deafness. (C) 2012 Elsevier Ireland Ltd. All rights reserved.