J Korean Neurosurg Soc.  2007 Nov;42(5):403-405. 10.3340/jkns.2007.42.5.403.

Extraordinarily Long-Term Posttraumatic Cerebrospinal Fluid Fistula

• Kim HS
• Hur JW
• Lee JW
• Lee HK

• KMID: 1956218
• DOI: http://doi.org/10.3340/jkns.2007.42.5.403

Abstract

Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.

Keyword

Traumatic CSF fistula; Meningitis; CT cisternography

MeSH Terms

Adult
Cerebrospinal Fluid*
Female
Fistula*
Humans
Meningitis
Skull Fracture, Basilar