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

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

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

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*

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

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

Cerebrospinal Fluid Rhinorrhea ; surgery ; Endoscopy ; Humans

Adult ; Cerebrospinal Fluid Rhinorrhea ; etiology ; Female ; Humans

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.

We present a case of bacterial menir gitis with spontaneous cerebrospinal rhinorrhea due to bony erosion by pituitary tumor. Brain CT and RI cisternography revealed direct bony erosion of both medial walls of sphenoid sinus which were considered as a portal of entry of bacterial meningitis. He was free from his symptoms by antimicrobial treatment and sugical repair.
Brain ; Cerebrospinal Fluid Rhinorrhea ; Meningitis, Bacterial* ; Pituitary Neoplasms* ; Sphenoid Sinus