No abstract available.
Cerebrospinal Fluid Rhinorrhea* ; Cerebrospinal Fluid*

No abstract available.
Cerebrospinal Fluid Rhinorrhea* ; Cerebrospinal Fluid*

The authors report a case of traumatic cerebrospinal fluid rhinorrhea accompanied by psychotic symptoms in which intracranial approach was performed under the surgical microscope for closure of the cerebrospinal fluid fistula, and satisfactory result were obtained.
Cerebrospinal Fluid ; Cerebrospinal Fluid Rhinorrhea* ; Fistula

OBJECTIVE: To present a case of a non-traumatic cerebrospinal fluid (CSF) rhinorrhea from a midline sphenoid sinus roof that presented as a persistent postnasal drip and was previously managed as allergic rhinitis for 43 years.

METHODS:

            Design:           Case Report

            Setting:           Tertiary Private University Hospital

            Participant:     One

RESULTS: A 58-year-old obese and hypertensive man presented with persistent post nasal drip and intermittent clear watery rhinorrhea. He had been managed as a case of allergic rhinitis for 43 years and was maintained on nasal steroid sprays without relief. Nasal endoscopy revealed pulsating clear watery discharge from the sphenoid ostium. On trans-sphenoidal surgery, a midline sphenoid sinus roof defect was sealed using a Hadad-Bassagasteguy flap.

CONCLUSION: CSF rhinorrhea is uncommon and may mimic more common diseases such as allergic rhinitis. Because misdiagnosis can then lead to life threatening complications, physicians should be vigilant when seeing patients with clear watery rhinorrhea to be able to arrive at a proper diagnosis and provide prompt treatment.

The author reported 33 cases of traumatic C.S.F. rhinorrhea occurred after traffic accident or craniocerebral wounds. The skull X-ray or CT-scan shows fracture of posterior wall of frontal sinus with pneumocephalus in 17 cases. Leakage of C.S.F. meningitis and pneumocephalus were almost cured by intracranial techniques (duroplasty or suture of the dura).
Cerebrospinal Fluid Rhinorrhea ; Accidents, Traffic

Cerebrospinal fluid (CSF) rhinorrhea has become a relatively common disease due to increasingincidents oftraffic accidents and endoscopic sinus surgeries, including skull base surgery. Improvements in surgical skills and endoscopicequipment have contributed to broadening the indicationsforendoscopic management ofCSF rhinorrhea. Precise identification of the etiology and leakage site is important for the treatment of CSF rhinorrhea. A variety of sealing techniques, such as overlay, underlay, and bath-plug, showed similar surgical outcomes. In addition, the type of graft material did not make a difference inthe surgical results. Therefore, thechoice of technique and graft material depends on the judgment of the surgeon. Endoscopic management of CSF rhinorrhea demonstrated anexcellent success rate and low morbidity. There were only few complications duringendoscopic management of CSF rhinorrhea and these were not serious. In conclusion, endoscopic management is effective for CSF rhinorrhea and should be initially considered for the treatment of CSF leakage.
Cerebrospinal Fluid ; Cerebrospinal Fluid Rhinorrhea* ; Endoscopes ; Judgment ; Skull Base ; Transplants

Cerebrospinal Fluid Rhinorrhea ; surgery ; Endoscopy ; Humans

No abstract available.
Cerebrospinal Fluid Rhinorrhea ; Meningitis, Bacterial ; Rhinoplasty

Tension pneumocephalus is a rare complication of craniotomy, however, it should be managed promptly due to rapid neurological deterioration. We report a case of tension pneumocephalus after transsphenoidal surgery for a giant pituitary tumor. It may have developed because of the cerebrospinal fluid rhinorrhea and presence of an external lumbar drain.
Cerebrospinal Fluid Rhinorrhea ; Craniotomy ; Pituitary Neoplasms* ; Pneumocephalus*

Adult ; Cerebrospinal Fluid Rhinorrhea ; etiology ; Female ; Humans