Porencephalic cyst expanding into the ear is a very rare complication of te
mporal bone fracture. We report a case of a 20-year-old male who developed
a traumatic porencephalic cyst of the temporal lobe expanding into the ear
through a tegmen fracture in association with a cholesteatoma. The clinical
presentation was otitic meningitis.
This occurrence was not encountered in any of the cases reviewed in the lit
erature. The diagnosis, pathogenesis, treatment and prognosis of this condi
tion are reviewed.