Late Posttraumatic Meningitis with Concealed CSF Otorrhea

Abstract
An 11-year-old girl with repeated pnemococcal meningitis after head injury is reported. High resolution CT scan with metrizamide cisternogram disclosed a fracture in petrous bone with collection of contrast medium in middle ear. Operative repair of the dura defect successfully stopped further intracranial infection. In case of late posttraaumatic infection, aggressive survey of the skull base is indicated.