RT Journal Article SR Electronic T1 Hyrtl’s Fissure: A Case of Spontaneous Cerebrospinal Fluid Otorrhea JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 963 OP 966 VO 26 IS 4 A1 Jégoux, F. A1 Malard, O. A1 Gayet-Delacroix, M. A1 Bordure, P. A1 Legent, F. A1 Beauvillain de Montreuil, C. YR 2005 UL http://www.ajnr.org/content/26/4/963.abstract AB Summary: Spontaneous CSF otorrhea is a relatively rare entity. Adequate diagnosis and treatment are needed to avoid life-threatening complications such as meningitis. Because diagnosis is based on CT findings, identification of the different pathways of congenital fistulas requires detailed knowledge of embryology and anatomy. The facial canal, petromastoid canal, and tympanomeningeal (Hyrtl’s) fissure can be responsible for CSF fluid otorrhea in the absence of any abnormality of the adjacent membranous labyrinth. We report the first documented and imaging case of Hyrtl’s fissure and its treatment.