Nontraumatic Cerebrospinal Fluid Rhinorrhea(via the Middle Cranial Fossa and Sphenoid Sinus): A Case Report
Journal of Korean Neurosurgical Society
; : 496-500, 1998.
Article
en Ko
| WPRIM
| ID: wpr-37445
Biblioteca responsable:
WPRO
ABSTRACT
We describe a rare case of nontraumatic normal pressure cerebrospinal fluid rhinorrhea. A 33-year-old male was admitted to our hospital due to continuous rhinorrhea but without a history of specific trauma. We performed various radiological evaluations, and on bone-window CT, detected severe bilateral extension of the sphenoid sinus into the greater wing. MRI and CT cisternography revealed that contrast media and cerebrospinal fluid had leaked from the middle cranial fossa to the sphenoid sinus. Transethmoidal sphenoid approach and sphenoid sinus fat obliteration was successfully performed by an otolaryngologist. On postoperative day 2, however, the patient's mental condition deteriorated and CT showed the development of acute obstructive hydrocephalus. Ventriculo-peritoneal shunt was then successfully performed and the patient was discharged. Nontraumatic normal pressure cerebrospinal fluid rhinorrhea involving leakage through the middle cranial fossa is very rare, this report discussed the etiological, anatomical and surgical considerations of this case.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Seno Esfenoidal
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Imagen por Resonancia Magnética
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Líquido Cefalorraquídeo
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Rinorrea de Líquido Cefalorraquídeo
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Derivación Ventriculoperitoneal
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Medios de Contraste
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Fosa Craneal Media
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Hidrocefalia
Límite:
Adult
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Humans
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Male
Idioma:
Ko
Revista:
Journal of Korean Neurosurgical Society
Año:
1998
Tipo del documento:
Article