ABSTRACT
Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.
Subject(s)
Adult , Female , Humans , Cerebrospinal Fluid , Fistula , Meningitis , Skull Fracture, BasilarABSTRACT
In this article 95 patients were chcked by air-CT cisternography and 43 cases with neurovascular contact were diagnosed. The results showed that NVC was the most common to be affected in CPA diseases. NVC was the cause of the symptoms. Using air-CT could diag- nose NVC, locatethe position, extend and complication as well as supply the accordance for surgury. We also discussed the mechanism of causing symptoms when NVC was normal of patholoic.
ABSTRACT
We report a case of the suprasellar arachnoid cyst with hydrocephalus which was incidental finding after minor head injury. Preoperatively, we studied the CT cisternography through lumbar route with niopam. It revealed that the arachnoid cyst was communicated with ventricles and delayed filling and clearance pattern of the cyst. The suprasellar arachnoid cyst with hydrocephalus was treated by combined craniotomy with partial removal of the membrane wall and cystoperioneal shunt. We reviewed the literature and discussed the diagnosis and treatment of the suprasellar arachnoid cyst.