Spontaneous cerebrospinal fluid rhinorrhea

Chen, Guang Yong; Ma, Long; Xu, Mei; Zhang, Jin Nan; He, Zhi Dong; He, Cheng Yan; Zhao, Cong Hai; Fu, Chao; Li, Miao; Gao, Yu Fei

doi:10.1097/md.0000000000009758

Cited by 11 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the article, “Spontaneous cerebrospinal fluid rhinorrhea: A case report and analysis” [ 1 ] , which appears in Volume 97, Issue 5 of Medicine , the hospital name for the affiliations appears incorrectly and the affiliations should appear as:…”

mentioning

confidence: 99%

Spontaneous cerebrospinal fluid rhinorrhea

2018

Medicine

View full text Add to dashboard Cite

mentioning

confidence: 99%

Spontaneous cerebrospinal fluid rhinorrhea

2018

Medicine

View full text Add to dashboard Cite

“…CSF rhinorrhea after craniofacial trauma mainly occurs in the nasal cavity, and CSF can enter the nasal cavity through defects in both the dura mater and bone in relation to the frontal ethmoid or sphenoid sinuses or along the cribriform plate for multiple reasons. [4] Ommaya et al postulated that there are areas of focal atrophy in the cribriform plate and sella that become filled with a pouch of CSF. Normal CSF pressure waves cause these pouches to enlarge, erode and eventually rupture out of the bone.…”

Section: Discussionmentioning

confidence: 99%

“…The source of CSF leakage is often repaired with autologous transplantation material, such as cartilage, inner thigh muscle or bone, nasal septum mucosa, turbinate bone, fascia, abdominal fat, ear cartilage, and other autologous tissues. [4,8,17] During surgery, we used temporalis muscle and fascia to avoid trauma caused by a separate incision.…”

Section: Discussionmentioning

confidence: 99%

Cerebrospinal fluid rhinorrhea in a bilateral frontal decompressive craniectomy patient caused by strenuous activity

Wang¹,

Sun

Li³

et al. 2018

Medicine

View full text Add to dashboard Cite

Rationale: Iatrogenic cerebrospinal fluid (CSF) rhinorrhea in a bilateral frontal decompressive craniectomy patient triggered by strenuous sport is rare. To the best of our knowledge, no similar case has yet been reported. Patient concerns: Herein, we report a case of CSF rhinorrhea in a 37-year-old man. He had previously suffered a traumatic brain injury in a traffic accident, and a subsequent bilateral frontal decompressive craniectomy operation was performed. Based on the frontal skull defect peculiarity, strenuous exercise may have caused drastic CSF pressure waves to tear the dura mater of the anterior skull base, resulting in CSF rhinorrhea. Diagnoses: The thin-slice computerized tomography (CT) images revealed a frontal skull defect and the open frontal sinus. In addition, in the opened frontal sinus, low-density liquid-filled areas were visible. Interventions: During surgery, the torn dura was carefully repaired, and the frontal sinus was filled with temporal muscle, fascia, and fibrin glue. A simultaneous cranioplasty was performed. Outcomes: The patient was followed-up postoperatively for 12 months to date without rhinorrhea recurrence. Recovery was uneventful. Lessons: Patients with skull defects should avoid strenuous sports, and cranioplasty should be performed as early as possible in order to decrease the likelihood of a dural tear and prevent the occurrence of CSF leakage. After cranioplasty, the skull should be restored to a closed state to reduce the damaging effects of CSF waves during movement. It is important to maintain normal intracranial pressure to reduce the recurrence rate of CSF rhinorrhea.

show abstract

“…Various imaging studies such as contrast-enhanced computed tomography (CT) cisternography, radionuclide cisternography, and MR cisternography are employed in the diagnosis of such cases. To date, contrast-enhanced CT cisternography is the standard for CSF leak evaluation with a sensitivity of 76-100%[18,19]. However, cisternography requires intrathecal injection via lumbar puncture which can cause discomfort for patients.…”

mentioning

confidence: 99%

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Mousavinejad¹

2020

BJSTR

View full text Add to dashboard Cite

Spontaneous or non-traumatic cerebrospinal fluid leaks comprise 5%-10% of all cerebrospinal fluid (CSF) rhinorrhea [1,2]. Generally, CSF rhinorrhea can occur at the cribriform plate, sella, sphenoid sinus, or ethmoid air cells [3,4]. However, primary CSF rhinorrhea due to clival defect is extremely rare. The current study describes two cases of spontaneous CSF rhinorrhea through the clivus which were repaired with endoscopic endonasal transsphenoidal approach. Such cases are extremely rare and upon literature review, only 16 cases with clival defect are reported thus far. The peculiar aspect of this case report is related to its rarity.

show abstract

Spontaneous cerebrospinal fluid rhinorrhea

Cited by 11 publications

References 10 publications

Spontaneous cerebrospinal fluid rhinorrhea

Spontaneous cerebrospinal fluid rhinorrhea

Cerebrospinal fluid rhinorrhea in a bilateral frontal decompressive craniectomy patient caused by strenuous activity

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Contact Info

Product

Resources

About