Unusually late onset of cerebrospinal fluid rhinorrhea after head trauma

Okada, Jun; Tsuda, Tsuneyuki; Takasugi, Shinsuke; Nishida, Kenki; Tóth, Zoltán; Matsumoto, Keizō

doi:10.1016/0090-3019(91)90073-i

Cited by 36 publications

(20 citation statements)

References 8 publications

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“…It has been postulated that the initial leak could have been temporarily stopped by interposition of swollen and herniated brain tissue into the dural defect. 31,32 The reopening of the dural defect usually occurs after some activities that cause an increase in the intracranial pressure, such as coughing or sneezing. The principles of management are similar to those of cerebrospinal fluid leaks that present in the initial trauma period.…”

Section: Discussionmentioning

confidence: 99%

Frontal Sinus Fractures: A Treatment Algorithm and Assessment of Outcomes Based on 78 Clinical Cases

Chen

Mardini

et al. 2006

Plastic and Reconstructive Surgery

100

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Involvement of the nasofrontal duct and persistence of cerebrospinal fluid leaks are two key determinants of the treatment algorithm. The amount of displacement of the posterior table has not been found to be a key determinant of the need for surgical intervention. When the sinus is to be obliterated, partial obliteration can achieve a good result, with limited sinus complication and minimal donor-site morbidity.

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Section: Discussionmentioning

confidence: 99%

Frontal Sinus Fractures: A Treatment Algorithm and Assessment of Outcomes Based on 78 Clinical Cases

Chen

Mardini

et al. 2006

Plastic and Reconstructive Surgery

100

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“…Late-onset CSF otorrhea is especially rare because most otorrhea stops immediately and naturally. 4) Most reports recommend immediate surgical repair for the treatment of delayed CSF leakage, 5,8) but the optimal surgical approach remains controversial. We describe two cases of delayed CSF leakage treated successfully by surgery.…”

Section: Introductionmentioning

confidence: 99%

Late Onset Cerebrospinal Fluid Leakage Associated With Past Head Injury

Kamochi

Kusaka

Ishikawa

et al. 2013

Neurol. Med. Chir.(Tokyo)

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“…Though the literature contains a few case reports of meningitis on a breach several years after the trauma, the delay between the cranial trauma and the occurrence of the meningitis was far less than 60 years in these observations [19,20]. Tissue atrophy and the subsequent changes in brain compliance with aging may have played a role in the reopening of the breach several years after the cranial trauma.…”

Section: Discussionmentioning

confidence: 99%

A case of meningitis due to Achromobacter xylosoxidans denitrificans 60 years after a cranial trauma

et al. 2011

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SummaryBackgroundAchromobacter xylosoxidans (AX) is a non-fermentative aerobic Gram-negative bacillus. It is an opportunistic pathogen and the causative agent of various infections. We report an original case of late posttraumatic meningitis due to AX denitrificans.Case ReportAn 83-year-old man was hospitalized for acute headache, nausea and vomiting. The emergency brain computer tomography (CT) scan did not reveal any anomaly. In his medical history, there was an auditory injury due to a cranial trauma incurred in a skiing accident 60 years earlier. Cytobiochemical analysis of the cerebrospinal fluid (CSF) revealed increased levels of neutrophils and proteins. The CSF bacterial culture was positive: the Gram stain showed a Gram-negative bacillus, oxidase + and catalase +, and the biochemical pattern using the API 20 NE strip revealed AX dentrificans. Late posttraumatic meningitis on a possible osteomeningeal breach was diagnosed even though the breach was not confirmed because the patient declined a second brain CT scan. The patient was successfully treated with meropenem.ConclusionsThis report demonstrates the importance of searching for unusual or atypical organisms when the clinician encounters meningitis in a particular context, as well as the importance of adequate follow-up of craniofacial traumas.

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Unusually late onset of cerebrospinal fluid rhinorrhea after head trauma

Cited by 36 publications

References 8 publications

Frontal Sinus Fractures: A Treatment Algorithm and Assessment of Outcomes Based on 78 Clinical Cases

Frontal Sinus Fractures: A Treatment Algorithm and Assessment of Outcomes Based on 78 Clinical Cases

Late Onset Cerebrospinal Fluid Leakage Associated With Past Head Injury

A case of meningitis due to Achromobacter xylosoxidans denitrificans 60 years after a cranial trauma

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