A Case of Idiopathic Spontaneous Tonsillar Hemorrhage / 대한이비인후과학회지

Spontaneous tonsillar hemorrhage (STH) is an extremely rare event. Usually, the causes of STH are ascribed to vessel wall erosion secondary to bacterial or viral infection of tonsils. Other causes include vascular or tumorous lesions around tonsil, coagulation disorders and idiopathic one. On one hand, the total number of reported STH has slightly increased because STH is defined as all forms of "bleeding tonsils", including even minor bleeding. On the other hand, the portion of the total STH that is life-threatening has become relatively few. Management of STH involves the use of antibiotics, and early tonsillectomy is recommended. We have experienced a case of a 29 year-old female with tonsillar hemorrhage in the absence of any identifiable cause. We report the case with a review of the related literatures.

Spontaneous Temporal Bone Meningocele through Perilabyrinthine Fistula Presented with Post-Traumatic Facial Nerve Paralysis / 대한이비인후과학회지

Perilabyrinthine meningocele is a rare disease entity that occurs through defects close to but not involving the labyrinth. Several different routes for perilabyrinthine meningocele have been proposed. We experienced a case of perilabyrinthine meningocele that developed through abnormal lateral extension of subarachnoid space following the labyrinthine segment of facial nerve to geniculate fossa, producing meningocele in the infratemporal fossa. This patient was asymptomatic before he presented with moderate facial nerve paralysis after in-car traffic accident. MR and CT findings are described.