J Rhinol.  2017 May;24(1):37-41. 10.18787/jr.2017.24.1.37.

Endoscopic Repair of Spontaneous Cerebrospinal Fluid Rhinorrhea with a Nasoseptal Flap

• Lee SK
• Jung JH
• Lee SJ
• Lee JY

• KMID: 2379788
• DOI: http://doi.org/10.18787/jr.2017.24.1.37

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is classified into traumatic and non-traumatic types. Traumatic CSF rhinorrhea comprises the majority of cases, and major causes include head trauma, rhinologic procedures, and neurosurgery. Non-traumatic (spontaneous) CSF rhinorrhea with normal cerebrospinal pressure is a rare condition, occurring in only 4% of cases. We recently experienced a case of spontaneous CSF rhinorrhea complicated with bacterial meningitis. The defect site was identified in the left sphenoid sinus and was successfully repaired with a nasoseptal flap under an endoscopic approach. We present the etiology, classification, and treatment of this rare disease entity with a review of the literature.

Keyword

Cerebrospinal fluid; Rhinorrhea; Spontaneous; Septal; Flap

MeSH Terms

Cerebrospinal Fluid
Cerebrospinal Fluid Rhinorrhea*
Classification
Craniocerebral Trauma
Meningitis, Bacterial
Neurosurgery
Rare Diseases
Sphenoid Sinus

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