Abstract

A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed.

Publication details

DOI
10.18295/2075-0528.1387
Journal
Sultan Qaboos University Medical Journal, 12(3), 352-356
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

Kariyattil, R., & Muthukuttiparambil, U. (2025). Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture. Sultan Qaboos University Medical Journal, 12(3), 352-356. https://doi.org/10.18295/2075-0528.1387

MLA 9

Kariyattil, Rajeev, and Unnikrishnan Muthukuttiparambil. "Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture." Sultan Qaboos University Medical Journal, vol. 12, no. 3, 2025, pp. 352-356. https://doi.org/10.18295/2075-0528.1387.

Chicago (author–date)

Kariyattil, Rajeev, and Unnikrishnan Muthukuttiparambil. 2025. "Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture." Sultan Qaboos University Medical Journal 12 (3): 352-356. https://doi.org/10.18295/2075-0528.1387.

Harvard

Kariyattil, R. and Muthukuttiparambil, U. (2025) 'Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture', Sultan Qaboos University Medical Journal, 12(3), pp. 352-356. doi:10.18295/2075-0528.1387.

Vancouver

Kariyattil R, Muthukuttiparambil U. Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture. Sultan Qaboos University Medical Journal. 2025;12(3):352-356. doi:10.18295/2075-0528.1387

IEEE

R. Kariyattil, and U. Muthukuttiparambil, "Traumatic Acute Brain Herniation through the Ear in a Child: Concealed compound fracture," Sultan Qaboos University Medical Journal, vol. 12, no. 3, pp. 352-356, 2025, doi: 10.18295/2075-0528.1387.