{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T22:15:39Z","timestamp":1775686539928,"version":"3.50.1"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T00:00:00Z","timestamp":1438732800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115001206_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>This paper reports a rare case of cerebrospinal fluid leak due to a Hyrtl's fissure and discusses the non-operative management of the case.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115001206_sec_a2\"><jats:title>Background and case report:<\/jats:title><jats:p>Cerebrospinal fluid otorrhoea is a rare phenomenon arising from an abnormal communicating tract between the subarachnoid space and middle ear. Affected patients are at a higher risk of developing meningitis and other neuro-otological complications. There are four common congenital causes of cerebrospinal fluid otorrhoea in the region of a normal labyrinth. This paper describes a case of cerebrospinal fluid in the middle ear resulting from a Hyrtl's fissure, which resolved spontaneously.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115001206_sec_a3\"><jats:title>Conclusion:<\/jats:title><jats:p>A literature search indicated this to be the first case with such a resolution without the need for any intervention.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115001206","type":"journal-article","created":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T12:57:05Z","timestamp":1438779425000},"page":"817-819","source":"Crossref","is-referenced-by-count":5,"title":["Spontaneous resolution of cerebrospinal fluid otorrhoea in a patient with a Hyrtl's fissure"],"prefix":"10.1017","volume":"129","author":[{"given":"R","family":"Brar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Vijendren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Salam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Picken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,8,5]]},"reference":[{"key":"S0022215115001206_ref2","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/BF02911008","article-title":"Spontaneous CSF otorrhoea \u2013 presenting as conductive deafness","volume":"54","author":"Pachauri","year":"2002","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215115001206_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199602000-00010"},{"key":"S0022215115001206_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/000348947908800311"},{"key":"S0022215115001206_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318182f833"},{"key":"S0022215115001206_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200010000-00016"},{"key":"S0022215115001206_ref1","unstructured":"Medscape. 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