Korean J Otorhinolaryngol-Head Neck Surg.  2009 Nov;52(11):932-935. 10.3342/kjorl-hns.2009.52.11.932.

A Case of Post-Traumatic Cerebrospinal Fluid Rhinorrhea with Encephalocele

• Jung JH
• Kang IG
• Cha HE
• Kim ST

• KMID: 1978402
• DOI: http://doi.org/10.3342/kjorl-hns.2009.52.11.932

Abstract

Posttraumatic cerebrospinal fluid (CSF) leakage may frequently develop after a skull base fracture. A patient with a 1-month history of intermittent watery rhinorrhea was referred to our department from the Department of Neurosurgery. He had been treated for 8 months due to a skull base fracture after a motor vehicle accident. He had undergone cranial trephination due to brain abscess prior to this presentation. On radiologic examination, a large skull base defect with encephalocele was observed. Using the nasal endoscopic approach, we identified a large protruding mass of soft brain tissue with pulsating CSF in the ethmoid roof. CSF lumbar drainage was performed in order to reduce the protruding mass by decreasing intracranial pressure. After CSF lumbar drainage, the protruding brain tissue was returned to the cranial cavity, and the leak site was successfully repaired with septal cartilage and graft material.

Keyword

CSF rhinorrhea; Encephalocele; Endoscopic repair

MeSH Terms

Brain
Brain Abscess
Cartilage
Cerebrospinal Fluid Rhinorrhea
Drainage
Encephalocele
Humans
Intracranial Pressure
Motor Vehicles
Neurosurgery
Skull Base
Transplants